Individual provider · Type 1 NPI

Ken Sangboem Kim

Addiction (Substance Use Disorder) Counselor · Orange, CA

NPI number 1003405846 Active

Practice location

265 S Anita Dr
Orange, CA 92868-3355

Call (949) 439-6109 Map

Mailing address

PO Box 17393
Irvine, CA 92623-7393

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003405846

Ken Sangboem Kim's National Provider Identifier is 1003405846, issued on Jan 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Orange, CA. The record was last updated on Jan 15, 2021.