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

Kyungmo Han, PHD, ATC, CSCS

Individual provider Athletic Trainer · NPI 1093326324

Kyungmo Han, PHD, ATC, CSCS is an Athletic Trainer in Northridge, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

Department Of Kinesiology 18111 Nordhoff St
Northridge, CA 91330-0001
Phone: (818) 677-5815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1093326324
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , ATC , CSCS
Sole proprietorYes
NPI enumeratedAugust 11, 2020
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022

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