Individual provider · Type 1 NPI

Jae Hee Kim

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

NPI number 1578078960 Active

Practice location

801 E Chapman Ave Ste 106
Fullerton, CA 92831-3846

Call (714) 680-8200 Map

Mailing address

Crittenton Services, PO Box 919
Fullerton, CA 92836-8233

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 1578078960

Jae Hee Kim's National Provider Identifier is 1578078960, issued on Dec 6, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fullerton, CA. The record was last updated on Dec 6, 2017.