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NPI Code Detail

MEDICARE: PROJECT KINSHIP

MEDICARE: PROJECT KINSHIP
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
1101Y00000XCounselor
2172V00000XCommunity Health Worker
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1013755032
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROJECT KINSHIP
Provider Business Mailing Address
First Line : 1833 E 17TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-8629
Country : US
Telephone Number : 714-941-8009
Fax Number :
Provider Business Practice Location Address
First Line : 1833 E 17TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-8629
Country : US
Telephone Number : 714-941-8009
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : STEVEN KIM
Credential : LCSW
Telephone Number : 714-941-8009
Provider Enumeration Date : 07/15/2024
Last Update Date : 01/07/2026

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Directions to “PROJECT KINSHIP ” Practice Location

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