Changho Kim
Changho Kim is a Student in an Organized Health Care Education/Training Program in Glendale, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
333 W Loraine St Apt 106Glendale, CA 91202-4423
Phone: (661) 565-5932
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1174306872 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 16, 2023 |
| Last updated in NPPES | August 16, 2023 |
| Certification date | August 16, 2023 |
| Mailing address | 333 W Loraine St Apt 106, Glendale, CA 91202-4423 |
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