| NPI | 1295967719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAE H KIM President 818-997-1216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4262) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-11-02 |