MEDICARE: KIAI 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
1	101YM0800X	Mental Health Counselor	18392	CA

General Provider Information

NPI Number	:	1033762315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIAI KIM

Provider Business Mailing Address
First Line	:	582 MARKET ST STE 1203
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94104-5313
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	582 MARKET ST STE 1203
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94104-5313
Country	:	US
Telephone Number	:	415-343-5890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2019
Last Update Date	:	09/16/2025

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Directions to “ KIAI KIM ” Practice Location

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