MEDICARE: DR. AMY KIM PSY.D.

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	103TC0700X	Clinical Psychologist	PSY28181	CA

General Provider Information

NPI Number	:	1871947192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY KIM PSY.D.

Provider Business Mailing Address
First Line	:	13101 W WASHINGTON BLVD
Second Line	:	230
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5131
Country	:	US
Telephone Number	:	310-880-8733
Fax Number	:

Provider Business Practice Location Address
First Line	:	13101 W WASHINGTON BLVD
Second Line	:	230
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5131
Country	:	US
Telephone Number	:	310-880-8733
Fax Number	:

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

Provider Enumeration Date	:	04/22/2016
Last Update Date	:	04/22/2016

Similar Medicare Providers

1366597072 — DOROTHY M. POLITE
Practice Location Address:

13101 W WASHINGTON BLVD , SUITE 130
LOS ANGELES, CA
90066-5131

Practice Phone: 310-566-7479
Practice Fax: 310-566-7487

1477881274 — CORPORATE COMMUNICOLOGY SOLUTIONS, INC.
Practice Location Address:

13101 W WASHINGTON BLVD , STE. 130
LOS ANGELES, CA
90066-5131

Practice Phone: 310-566-7479
Practice Fax: 310-566-7487

1073813614 — DARETH MICHELLE TRICE MS CCC-SLP
Practice Location Address:

13101 W WASHINGTON BLVD # 465
LOS ANGELES, CA
90066-5131

Practice Phone: 310-867-3818
Practice Fax: 310-388-0817

1184922213 — DR. AUDREY JANIS LEVY PSY.D.
Practice Location Address:

13101 W WASHINGTON BLVD , # 422
LOS ANGELES, CA
90066-5131

Practice Phone: 310-306-7750
Practice Fax: 310-822-3186

1962762229 — BETH ROSENBLATT MFT-ATR
Practice Location Address:

13101 W WASHINGTON BLVD
LOS ANGELES, CA
90066-5131

Practice Phone: 310-415-3416
Practice Fax:

1508258450 — GALWAY TRADING LLC
Practice Location Address:

13101 W WASHINGTON BLVD , #433
LOS ANGELES, CA
90066-5131

Practice Phone: 800-794-0763
Practice Fax:

Directions to “ DR. AMY KIM PSY.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.