Individual provider · Type 1 NPI

Heekyung Kim

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

NPI number 1104787423 Active

Practice location

101 The City Dr S Bldg 23
Orange, CA 92868-3201

Call (949) 819-5969 Map

Mailing address

200 S Manchester Ave Ste 400
Orange, CA 92868-3220

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 1104787423

Heekyung Kim's National Provider Identifier is 1104787423, issued on Nov 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orange, CA. The record was last updated on Nov 18, 2025.