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

Soo Yeon Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508794629

Soo Yeon Kim is a Student in an Organized Health Care Education/Training Program in Goleta, California. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

5580 Calle Real
Goleta, CA 93111-1646
Phone: (805) 617-7878
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 number1508794629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 11, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 10, 2026
Mailing address2900 Fairway Ave Apt 408, Glendale, CA 91214-4302

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