Roland Yongchul Kim in Garden Grove - Clinical

Roland Yongchul Kim - NPI 1417089863

Roland Yongchul Kim is a Clinical in Garden Grove, California. Roland Yongchul Kim practices all healthcare services and medical treatments related to Clinical. The NPI Number for Roland Yongchul Kim is 1417089863. The last update date is 2007-07-08.

Roland Yongchul Kim's current location address is 8345 Garden Grove Blvd, Garden Grove, California. You can contact this provider via phone number 7145377070. The mailing address for Roland Yongchul Kim is 8345 Garden Grove Blvd, Garden Grove, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Roland Yongchul Kim
Address 8345 Garden Grove Blvd, Garden Grove, California
Phone Number 7145377070
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1417089863
Provider Enumeration Date 2007-03-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8345 Garden Grove Blvd
City Garden Grove
State California (CA)
Post Code 928441133
Phone Number 7145377070
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No PSY17823
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Roland Yongchul Kim

What is the unique provider identifier assigned to Roland Yongchul Kim?

The Roland Yongchul Kim has been issued the NPI (National Provider Identifier) 1417089863 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Roland Yongchul Kim?

The Roland Yongchul Kim is situated at 8345 Garden Grove Blvd, in the city of Garden Grove, state of CA, with the zip code 928441133.

What is the Roland Yongchul Kim's area of specialization and corresponding taxonomy classification?

The Roland Yongchul Kim's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date did the Roland Yongchul Kim receive its 1417089863 assignment from the Centers for Medicare & Medicaid Services?

The Roland Yongchul Kim was assigned its 1417089863 by the Centers for Medicare & Medicaid Services on 2007-03-12.

As of what date were the Roland Yongchul Kim's details last updated?

The information pertaining to the Roland Yongchul Kim, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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