Mark Joong-Pyoung Kim
Physical Therapist - Pediatrics
200 E Del Mar Blvd Ste 112
Pasadena
, California 91105-2552
Mark Joong-Pyoung Kim
Physical Therapist - Pediatrics
200 E Del Mar Blvd Ste 112
Pasadena
, California 91105-2552
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mark Joong-Pyoung Kim
- 1805 Meridian Ave Unit 4
- South Pasadena, CA
- Zip : 91030-5502
- Phone :
Second Address
- Mark Joong-Pyoung Kim
- 200 E Del Mar Blvd Ste 112
- Pasadena, CA
- Zip : 91105-2552
- Phone : (626) 564-2700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | PT292426 | CA |
National Provider Identifier
| NPI | 1083136279 |
|---|---|
| Provider Name | Mark Joong-Pyoung Kim |
| First Address | South Pasadena, CA 91030-5502 |
| Second Address | Pasadena, CA 91105-2552 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2017 |
| Last Update Date | 10/07/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.