Jisoo Kim

NPI #1083308290 in Toluca Lake, California

Provider Information

NPI Number: 1083308290
Entity Type: Individual
Name: Jisoo Kim
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 8, 2023
Last Updated: Jun 8, 2023

Practice Location

Address: 10740 MOORPARK ST
City: Toluca Lake
State: California
ZIP Code: 91602-3602
Phone: (213) 568-7663

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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