CA Wall License 1216 Information
| Name | Audrey Kim |
| License Number | 1216 |
| Individual or Organization | O |
| Address | 15140 Ventura Blvd
Sherman Oaks, CA 91403 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 10/16/2007 |
| License Expiration Date | 12/31/2022 |
| License Type | Wall License |
| Agency | Acupuncture Board |