Individual provider · Type 1 NPI

Yeon Soo Kim

Student in an Organized Health Care Education/Training Program · San Carlos, CA

NPI number 1073421160 Active

Practice location

1692 El Camino Real
San Carlos, CA 94070-5208

Call (650) 817-9070 Map

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 1073421160

Yeon Soo Kim's National Provider Identifier is 1073421160, issued on Aug 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Carlos, CA. The record was last updated on Aug 31, 2026.