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General NPI Number Information
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NPI Number | 1538656012
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Entity Type | Organization
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Legal Business Name | SUNG J. KIM PHYSICAL THERAPY, APC
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Dates
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Enumeration Date | 04/19/2018
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1706 W ORANGETHORPE AVE STE D
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City | FULLERTON
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State | CA
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Zip | 92833-4538
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Country | US
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Telephone | 714-475-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 1706 W ORANGETHORPE AVE STE F
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City | FULLERTON
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State | CA
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Zip | 92833-4556
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Country | US
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Telephone | 714-457-1400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PT
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Name | SUNG J KIM
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Credential | PT
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Telephone | 714-475-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT42303
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License Number State | CA
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