Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ryan Kim, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1114686250

Ryan Kim, PTA is a Physical Medicine & Rehabilitation Physician in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

619 N Fairfax Ave
Los Angeles, CA 90036-1714
Phone: (886) 884-5625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence PTA49299 (CA)

Record details

NPI number1114686250
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 16, 2021
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021

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