SearchCalifornia225100000X

Myungjin Kim, P.T

NPI 1578861399 · on the registry since 2011 · sole proprietor

Practice

Address
12139 Mount Vernon Ave
Suite 110
Grand Terrace, CA 92313
Phone
(909) 370-3396
Fax
(909) 783-4288
Organisation at this address
Broadscope Llc
Health Redesigned
Terra Vista Counseling
Debonaire Hospice, Inc.
Keough Chiropractic, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-09-19

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