Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jiyoon Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265054084

Jiyoon Kim is a Student in an Organized Health Care Education/Training Program in San Leandro, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

2050 Fairmont Dr
San Leandro, CA 94578-1001
Phone: (510) 483-3030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence AMFT127286 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265054084
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 14, 2020
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021

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