DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JIWOO KIM

MEDICARE: JIWOO 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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1366391112
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIWOO KIM
Provider Business Mailing Address
First Line : 501 MARIN ST STE 225
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91360-4301
Country : US
Telephone Number : 805-379-1401
Fax Number :
Provider Business Practice Location Address
First Line : 501 MARIN ST STE 225
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91360-4301
Country : US
Telephone Number : 805-379-1401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

Similar Medicare Providers

1013867936 — JEFFREY BROWN
Practice Location Address:
501 MARIN ST STE 225
THOUSAND OAKS, CA
91360-4301
Practice Phone: 805-379-1401
Practice Fax:
1659239242 — KRISTLYNN MARIE HUNT
Practice Location Address:
501 MARIN ST STE 225
THOUSAND OAKS, CA
91360-4301
Practice Phone: 805-379-1401
Practice Fax:
1790643237 — SERGEY PAVLOV
Practice Location Address:
501 MARIN ST STE 225
THOUSAND OAKS, CA
91360-4301
Practice Phone: 805-379-1401
Practice Fax:
1790647691 — JULIE M ULRICH
Practice Location Address:
501 MARIN ST STE 225
THOUSAND OAKS, CA
91360-4301
Practice Phone: 805-379-1401
Practice Fax:
1356209506 — KENDYLL C MITCHELL
Practice Location Address:
501 MARIN ST STE 225
THOUSAND OAKS, CA
91360-4301
Practice Phone: 805-379-1401
Practice Fax:
1649137381 — MARY WELBY MORRIS
Practice Location Address:
501 MARIN ST STE 225
THOUSAND OAKS, CA
91360-4301
Practice Phone: 603-566-8381
Practice Fax: 603-566-8381

Directions to “ JIWOO KIM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.