Search › California › 171100000X
Tae Hyung Kim
NPI 1710364435 · on the registry since 2015 · sole proprietor
Practice
- Address
- 20828 E Rocky Point Ln
Walnut, CA 91789 - Phone
- (909) 519-3306
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
- 2015-05-01
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