Individual provider · Type 1 NPI

Yeon Ji Kim

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

NPI number 1689022212 Active

Practice location

5985 Pilgrim Ave
San Jose, CA 95129-4730

Call (408) 781-8578 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 1689022212

Yeon Ji Kim's National Provider Identifier is 1689022212, issued on May 24, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on May 24, 2016.