Individual provider · Type 1 NPI

Hae Soo Kim

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

NPI number 1184418485 Active

Practice location

11234 Anderson Street, Gme Office Westerly Suite C
Loma Linda, CA 92350

Call (909) 558-4907 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 1184418485

Hae Soo Kim's National Provider Identifier is 1184418485, issued on Apr 9, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Loma Linda, CA. The record was last updated on May 1, 2025.