1. Home
  2. Directory
  3. California
  4. Toluca Lake
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JISOO KIM
NPI 1083308290
Student in an Organized Health Care Education/Training Program in Toluca Lake, CA

Active since June 08, 2023
10740 MOORPARK ST, TOLUCA LAKE, CA 91602(213) 568-7663 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jisoo Kim NPPES

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

JISOO KIM (NPI 1083308290) is an individual student in an organized health care education/training program in Toluca Lake, California and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1083308290
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJISOO KIM
Location Address10740 MOORPARK STToluca Lake, CA 91602-3602
Mailing Address10740 Moorpark StToluca Lake, CA 91602-3602 · (213) 568-7663
Phone(213) 568-7663
Sole ProprietorYes
Enumeration DateJune 8, 2023
NPPES CertifiedJune 5, 2023
✔ NPI 1083308290 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.
10740 MOORPARK ST, Toluca Lake, CA 91602
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jisoo Kim's NPI number?

The NPI number for Jisoo Kim is 1083308290. It was assigned to this individual provider in the NPPES registry on June 8, 2023.

Where is Jisoo Kim located?

Jisoo Kim practices at 10740 Moorpark St, Toluca Lake, CA 91602. The listed phone number is (213) 568-7663.

What is Jisoo 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 Jisoo Kim was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.