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

Johnny Kim

Individual provider Clinical Social Worker · NPI 1568913820

Johnny Kim is a Clinical Social Worker in Venice, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

204 Hampton Dr
Venice, CA 90291
Phone: (310) 396-6468
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 93241 (CA)

Record details

NPI number1568913820
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 20, 2016
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address204 Hampton Drive, Venice, CA 90291

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