Individual provider · Type 1 NPI

Heidi Gina Kim

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

NPI number 1497497085 Active

Practice location

3303 Harbor Blvd Ste C2
Costa Mesa, CA 92626-1518

Call (949) 996-4354 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 1497497085

Heidi Gina Kim's National Provider Identifier is 1497497085, issued on Apr 13, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Costa Mesa, CA. The record was last updated on Apr 2, 2026.