Individual provider · Type 1 NPI

Soo Yeon Kim

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

NPI number 1508794629 Active

Practice location

5580 Calle Real
Goleta, CA 93111-1646

Call (805) 617-7878 Map

Mailing address

2900 Fairway Ave Apt 408
Glendale, CA 91214-4302

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 1508794629

Soo Yeon Kim's National Provider Identifier is 1508794629, issued on May 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Goleta, CA. The record was last updated on May 11, 2026.