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

Sally Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275278020

Sally Kim is a Student in an Organized Health Care Education/Training Program in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757
Phone: (949) 743-1457
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 (CA)

Record details

NPI number1275278020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 4, 2022
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022
Mailing address634 E Route 66 Apt 39, Glendora, CA 91740-3500

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