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NPI Code Detail

MEDICARE: DR. RICHARD KIM

MEDICARE:  DR. RICHARD  KIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist4356CA

General Provider Information

NPI Number : 1154273324
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD KIM
Provider Business Mailing Address
First Line : 1051 W BASTANCHURY RD
Second Line :
City : FULLERTON
State : CA
Zip : 92833-2247
Country : US
Telephone Number : 714-616-0253
Fax Number :
Provider Business Practice Location Address
First Line : 1051 W BASTANCHURY RD
Second Line :
City : FULLERTON
State : CA
Zip : 92833-2247
Country : US
Telephone Number : 714-616-0253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ DR. RICHARD KIM ” Practice Location

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