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

Nickaulus Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821871351

Nickaulus Kim is a Student in an Organized Health Care Education/Training Program in Fullerton, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

3110 Cochise Way Unit 99
Fullerton, CA 92833-4922
Phone: (714) 502-4042
Show map & directions

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 number1821871351
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 17, 2023
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023
Mailing address3110 Cochise Way Unit 99, Fullerton, CA 92833-4922

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