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KEN SANGBOEM KIM
NPI 1003405846
Counselor - Addiction (Substance Use Disorder) in Orange, CA

Active since January 15, 2021
265 S ANITA DR, ORANGE, CA 92868(949) 439-6109 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ken Sangboem Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEN SANGBOEM KIM (NPI 1003405846) is an individual addiction (substance use disorder) provider in Orange, California and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1003405846
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEN SANGBOEM KIM
Location Address265 S ANITA DROrange, CA 92868-3355
Mailing AddressPo Box 17393Irvine, CA 92623-7393 · (949) 439-6109
Phone(949) 439-6109
Sole ProprietorNo
Enumeration DateJanuary 15, 2021
NPPES CertifiedJanuary 15, 2021
✔ NPI 1003405846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
265 S ANITA DR, Orange, CA 92868
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHARATH KUMAR ELIAS RENIGUNTALA M.D.
General Practice
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 531-6344
DENA MARIE VALENZUELA
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 749-2603
ANDREW SHULENBERGER
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (657) 933-4101
ARIALA DECK
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 749-2500
MS. ROLA JREISAT CADC 11-CA
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (562) 241-8669
MYDEA JONES
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 749-2500
EMUAN OMOYEMEN IHENYEN
Counselor (Addiction (Substance Use Disorder))
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 749-2500
BOHRDOM LLC
Student in an Organized Health Care Education/Training Program
265 S ANITA DR
ORANGE, CA 92868
Orange County (949) 233-8119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ken Kim's NPI number?

The NPI number for Ken Kim is 1003405846. It was assigned to this individual provider in the NPPES registry on January 15, 2021.

Where is Ken Kim located?

Ken Kim practices at 265 S Anita Dr, Orange, CA 92868. The listed phone number is (949) 439-6109.

What is Ken Kim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ken Kim was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.