Daneil Imkyu Kim in Northridge - Psychologist
Daneil Imkyu Kim - NPI 1013096551
Daneil Imkyu Kim is a Psychologist in Northridge, California. Daneil Imkyu Kim practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Daneil Imkyu Kim is 1013096551. The last update date is 2011-10-17.
Daneil Imkyu Kim's current location address is 12121 Shadow Ridge Way, Northridge, California. You can contact this provider via phone number 8183606902 and fax number 8189978743. The mailing address for Daneil Imkyu Kim is 12121 Shadow Ridge Way, Northridge, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daneil Imkyu Kim |
|---|---|
| Address | 12121 Shadow Ridge Way, Northridge, California |
| Phone Number | 8183606902 |
| Fax Number | 8189978743 |
| Sole Proprietor | Y |
| Credentials | PSYCHOLOGI |
NPI Number Detail
| NPI Number | 1013096551 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2011-10-17 |
Provider Mailing Address Detail
| Address | 12121 Shadow Ridge Way |
|---|---|
| City | Northridge |
| State | California (CA) |
| Post Code | 913263826 |
| Phone Number | 8183606902 |
| Fax Number | 8189978743 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY19028 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Daneil Imkyu Kim?
The Daneil Imkyu Kim has been issued the NPI (National Provider Identifier) 1013096551 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Daneil Imkyu Kim?
The Daneil Imkyu Kim is physically situated at 12121 Shadow Ridge Way, in the city of Northridge, state of CA, with the postal code 913263826.
What is the Daneil Imkyu Kim's specialty and taxonomy code?
The Daneil Imkyu Kim's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did Daneil Imkyu Kim receive its 1013096551 assignment from the Centers for Medicare & Medicaid Services?
The Daneil Imkyu Kim was assigned its 1013096551 on 2006-11-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Daneil Imkyu Kim most recently updated or revised?
The details related to Daneil Imkyu Kim, including its address, specialty, and other relevant information, were last updated or revised on 2011-10-17.
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