Search › California › 171100000X
Mi Ok Kim
NPI 1265897060 · on the registry since 2015 · sole proprietor
Practice
- Address
- 15420 S Western Ave
Gardena, CA 90249 - Phone
- (310) 532-8008
- Fax
- (310) 327-7941
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-21
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