Individual provider · Type 1 NPI
Jisoo Kim
Student in an Organized Health Care Education/Training Program · Toluca Lake, CA
NPI number
1083308290
Active
Practice location
10740 Moorpark St
Toluca Lake, CA 91602-3602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1083308290
Jisoo Kim's National Provider Identifier is 1083308290, issued on Jun 8, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Toluca Lake, CA. The record was last updated on Jun 8, 2023.