Dr Jina Kim, DPT | |
39865 Cedar Blvd Unit 337, Newark, CA 94560-5354 | |
(909) 800-2357 | |
Not Available |
Full Name | Dr Jina Kim |
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Gender | Female |
Speciality | Physical Therapist |
Location | 39865 Cedar Blvd Unit 337, Newark, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861686396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 32555 (California) | Primary |
Provider Name | California Luna Care Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
Mailing Address | Practice Location Address |
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Dr Jina Kim, DPT 39865 Cedar Blvd Unit 337, Newark, CA 94560-5354 Ph: (909) 800-2357 | Dr Jina Kim, DPT 39865 Cedar Blvd Unit 337, Newark, CA 94560-5354 Ph: (909) 800-2357 |
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