John Lee Im, MA

NPI #1205456506 in Commerce, California

Provider Information

NPI Number: 1205456506
Entity Type: Individual
Name: John Lee Im, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MA
Enumeration Date: Apr 16, 2020
Last Updated: May 28, 2021

Practice Location

Address: 5400 E OLYMPIC BLVD FL 1
City: Commerce
State: California
ZIP Code: 90022-5147
Phone: (323) 869-9255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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