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JUNG YOUN LEE KIM
NPI 1093061491
Student in an Organized Health Care Education/Training Program in San Jose, CA

Active since August 03, 2012
614 TULLY RD, SAN JOSE, CA 95111(408) 494-1575 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jung Youn Lee Kim NPPES

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

JUNG YOUN LEE KIM (NPI 1093061491) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1093061491
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJUNG YOUN LEE KIM
Location Address614 TULLY RDSan Jose, CA 95111-1048
Mailing Address3080 Mary Helen LnSan Jose, CA 95136-4846 · (650) 269-0763
Phone(408) 494-1575
Sole ProprietorYes
Enumeration DateAugust 3, 2012
✔ NPI 1093061491 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.
614 TULLY RD, San Jose, CA 95111
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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.

MISS SALLY AGUILAR BA
Counselor (Addiction (Substance Use Disorder))
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 977-1591
RITHA CANALES ROSSI LCSW
Social Worker (Clinical)
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 494-1561
CINDY LA
Social Worker
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 494-1561
OLGA BURCH RN
Registered Nurse (Case Management)
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 494-1500
MS. JACQUELINE TAMMY MAC R.N.
Registered Nurse (Case Management)
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 494-1542
MARIA ESTELA LARA
Counselor (Addiction (Substance Use Disorder))
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 977-1591
MALIKA-CONNIE ANCHETA
Registered Nurse (Case Management)
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 494-1538
MS. JANET KOHL R.N.
Registered Nurse (Case Management)
614 TULLY RD
SAN JOSE, CA 95111
Santa Clara County (408) 494-7443

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 Jung Youn Lee Kim's NPI number?

The NPI number for Jung Youn Lee Kim is 1093061491. It was assigned to this individual provider in the NPPES registry on August 3, 2012.

Where is Jung Youn Lee Kim located?

Jung Youn Lee Kim practices at 614 Tully Rd, San Jose, CA 95111. The listed phone number is (408) 494-1575.

What is Jung Youn Lee 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 Jung Youn Lee Kim was last updated on August 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.