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1114686250
RYAN KIM
LOS ANGELES, CA
NPI
1114686250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA PTA49299)
Enumeration Date
2021-12-16
Last Update Date
2021-12-16
Business Address
RYAN KIM PTA
619 N FAIRFAX AVE
LOS ANGELES, CA 90036-1714
Phone number: 886-884-5625
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Mailing Address
RYAN KIM PTA
330 S BERENDO ST APT 229
LOS ANGELES, CA 90020-5800
Phone number: 818-599-2534
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