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NPI Code Detail

MEDICARE: ANNA KIM TRI

MEDICARE: ANNA KIM TRI
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
1101YM0800XMental Health CounselorACSW103883CA
21041C0700XClinical Social WorkerLCSW123289CA
3104100000XSocial WorkerASW103883CA
4171M00000XCase Manager/Care Coordinator
5390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1225400815
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA KIM TRI
Provider Business Mailing Address
First Line : 9353 VALLEY BLVD STE C
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-1923
Country : US
Telephone Number : 626-287-2988
Fax Number :
Provider Business Practice Location Address
First Line : 9353 VALLEY BLVD STE C
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-1923
Country : US
Telephone Number : 626-287-2988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2015
Last Update Date : 07/18/2024

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Directions to “ ANNA KIM TRI ” Practice Location

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