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1891161741 NPI number — KYONG OHK KIM

NPI Number: 1891161741
Health Care Provider/Practitioner: KYONG OHK KIM

Information about “1891161741” NPI (KYONG OHK KIM) exists in 1891161741 in HTML format HTML  |  1891161741 in plain Text format TXT  |  1891161741 in PDF (Portable Document Format) PDF  |  1891161741 in an XML format XML  formats.

NPI Number : 1891161741 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891161741",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KIM",
    "FirstName": "KYONG OHK",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2021 LOS GATOS ALMADEN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN JOSE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95124-5456",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "408-857-3242",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2400 MOORPARK AVE # 3300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN JOSE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95128-2631",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "408-975-2745",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/14/2015",
    "LastUpdateDate": "06/23/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "93644",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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