SearchCaliforniaPhysical Medicine & Rehabilitation Physician

Ryan Kim, PTA

NPI 1114686250 · on the registry since 2021 · sole proprietor

Practice

Address
619 N Fairfax Ave
Los Angeles, CA 90036
Phone
(886) 884-5625
Organisation at this address
Mek Kennedy, Llc
Fairfax Healthcare, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
Physical Medicine & Rehabilitation Physician
208100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California