Individual provider · Type 1 NPI

Jeong Min Kim

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1053930537 Active

Practice location

10833 Le Conte Ave
Los Angeles, CA 90095-3075

Mailing address

10001 Chester Ave Apt 647
Cleveland, OH 44106-1663

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1053930537

Jeong Min Kim's National Provider Identifier is 1053930537, issued on Apr 14, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 14, 2020.