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Changho Kim
Student in an Organized Health Care Education/Training Program in Glendale, California
NPI 1174306872

Changho Kim is a Student in an Organized Health Care Education/Training Program based in Glendale, CA. Changho Kim practices in Glendale, CA. The NPI Number for Changho Kim is 1174306872 and holds a License No. (California).

The current practice location address for Changho Kim is 333 W Loraine St Apt 106, Glendale, CA and can be reached out via phone at 661-565-5932.

Location: 333 W Loraine St Apt 106, Glendale, CA, 91202-4423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174306872
Provider Name
Changho Kim
Credential
Provider Entity Type
Individual
Gender
Male
Address
333 W Loraine St Apt 106, Glendale, CA, 91202-4423
Phone Number
661-565-5932
Fax Number
Provider Enumeration Date
08/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
333 W Loraine St Apt 106
City
Glendale
State
California
Zip
91202-4423
Phone Number
661-565-5932
Fax Number
person
Provider Business Mailing Address Details
Address
333 W Loraine St Apt 106
City
Glendale
State
California
Zip
91202-4423
Phone Number
661-565-5932
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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