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

Jung Youn Lee Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093061491

Jung Youn Lee Kim is a Student in an Organized Health Care Education/Training Program in San Jose, California. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

614 Tully Rd
San Jose, CA 95111-1048
Phone: (408) 494-1575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1093061491
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2012
Last updated in NPPESAugust 3, 2012

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