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General NPI Number Information
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NPI Number | 1174824536
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Entity Type | Individual
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Provider Name | VICTORIA KIM LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 12021 WILMINGTON AVE BLDG 18
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City | LOS ANGELES
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State | CA
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Zip | 90059-3019
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Country | US
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Telephone | 213-605-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 921 E COMPTON BLVD
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City | COMPTON
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State | CA
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Zip | 90221-3303
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Country | US
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Telephone | 213-605-3330
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 27230
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License Number State | CA
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