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Search › California › 106H00000X

Jiwon Kim

NPI 1730065103 · on the registry since 2025 · sole proprietor

Practice

Address
143 N Larchmont Blvd Fl 2
Los Angeles, CA 90004
Phone
(213) 824-2250
Organisation at this address
Monica Federoff Md Phd Inc
East Side Ketamine Specialists
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
106H00000X
106H00000X
Sex
Female
Record last updated
2025-08-12

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