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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

YEON SOO KIM
NPI 1073421160
Student in an Organized Health Care Education/Training Program in San Carlos, CA

Active since August 31, 2026
1692 EL CAMINO REAL, SAN CARLOS, CA 94070(650) 817-9070 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Yeon Soo Kim NPPES

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

YEON SOO KIM (NPI 1073421160) is an individual student in an organized health care education/training program in San Carlos, California and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1073421160
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameYEON SOO KIM
Location Address1692 EL CAMINO REALSan Carlos, CA 94070-5208
Mailing Address1692 El Camino RealSan Carlos, CA 94070-5208
Phone(650) 817-9070
Sole ProprietorNo
Enumeration DateAugust 31, 2026
NPPES CertifiedAugust 30, 2026
✔ NPI 1073421160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1692 EL CAMINO REAL, San Carlos, CA 94070
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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.

VENERA GUMEROVA
Day Training/Habilitation Specialist
1692 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (650) 817-9070
ELISSE NOELLE LEON
Counselor (Mental Health)
1692 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (650) 817-9070
MR. KEVIN BUTLER GUESS
Day Training/Habilitation Specialist
1692 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (650) 817-9070
BRENDA JEZELL QUINONES-ANDRADE
Student in an Organized Health Care Education/Training Program
1692 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (650) 817-9070
TEMA MAILE TUAKOI RN
Registered Nurse (Psychiatric/Mental Health, Adult)
1692 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (650) 817-9070
ANGELICA VISTAN LANTIN
Community Health Worker
1692 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (650) 817-9070
JOCELYN CRYSTAL PUTNEY
Social Worker
1692 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (650) 416-4617
MATTHEW MARTIN FLORES
Day Training/Habilitation Specialist
1692 EL CAMINO REAL
SAN CARLOS, CA 94070
San Mateo County (628) 249-2851

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 Yeon Soo Kim's NPI number?

The NPI number for Yeon Soo Kim is 1073421160. It was assigned to this individual provider in the NPPES registry on August 31, 2026.

Where is Yeon Soo Kim located?

Yeon Soo Kim practices at 1692 El Camino Real, San Carlos, CA 94070. The listed phone number is (650) 817-9070.

What is Yeon Soo Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Yeon Soo Kim was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.