Individual provider · Type 1 NPI

Ji Yeon Kim

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

NPI number 1740104538 Active

Practice location

2625 Zanker Rd Ste 201
San Jose, CA 95134-2130

Call (408) 468-0100 Map

Mailing address

19550 Vallco Pkwy Unit 231
Cupertino, CA 95014-7159

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 1740104538

Ji Yeon Kim's National Provider Identifier is 1740104538, issued on Aug 5, 2026. 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 Aug 5, 2026.