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General NPI Number Information
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NPI Number | 1225501109
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Entity Type | Individual
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Provider Name | ELIJAH SANGKU-DANIEL KIM PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 200 MERCY CIRCLE
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City | OCEANSIDE
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State | CA
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Zip | 92055
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Country | US
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Telephone | 415-260-5997
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Fax |
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Provider Business Mailing Address
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Address Line | 3835 N FREEWAY BLVD STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95834-1954
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 19455
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License Number State | CA
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