Search › California › 171100000X
Tae Gon Kim
NPI 1538717939 · on the registry since 2019 · sole proprietor
Practice
- Address
- 5301 Whittier Blvd
East Los Angeles, CA 90022 - Phone
- (323) 715-3615
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-28
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