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General NPI Number Information
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NPI Number | 1992387229
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Entity Type | Organization
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Legal Business Name | JH KIM CHIROPRACTIC, APC
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 3511 W OLYMPIC BLVD STE 204
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City | LOS ANGELES
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State | CA
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Zip | 90019-3563
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Country | US
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Telephone | 323-733-1222
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Fax |
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Provider Business Mailing Address
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Address Line | 3511 W OLYMPIC BLVD STE 204
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City | LOS ANGELES
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State | CA
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Zip | 90019-3563
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Country | US
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Telephone | 323-733-1222
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Fax |
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Authorized Official
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Title or Position | C.E.O
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Name | JONATHAN HYUNGSUK KIM
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Credential | DC
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Telephone | 323-733-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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