Ida Kim
NPI #1285982264 in La Crescenta, California
Provider Information
- NPI Number
- 1285982264
- Entity Type
- Individual
- Name
- Ida Kim
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 22, 2012
- Last Updated
- Aug 22, 2012
Practice Location
- Address
- 2647 FOOTHILL BLVD
- City
- La Crescenta
- State
- California
- ZIP Code
- 91214-3511
- Phone
- (818) 248-1016
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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