Individual provider · Type 1 NPI

Jung Youn Lee Kim

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

NPI number 1093061491 Active

Practice location

614 Tully Rd
San Jose, CA 95111-1048

Call (408) 494-1575 Map

Mailing address

3080 Mary Helen Ln
San Jose, CA 95136-4846

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 1093061491

Jung Youn Lee Kim's National Provider Identifier is 1093061491, issued on Aug 3, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on Aug 3, 2012.