WONHA KIM
NPI 1104619592
Counselor - Mental Health in Oakland, CA
Active since May 28, 2025
About Wonha Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WONHA KIM (NPI 1104619592) is an individual mental health provider in Oakland, California, licensed in California (APCC19740) and active in the NPI registry since May 2025.
NPPES Registry Identity
NPI1104619592
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameWONHA KIM
Location Address3800 COOLIDGE AVEOakland, CA 94602-3311
Mailing Address2171 Talladega CtSparks, NV 89436-8704 · (775) 636-5303
Phone(510) 482-2244
Sole ProprietorYes
Enumeration DateMay 28, 2025
Last NPPES UpdateJune 28, 20252 updates tracked since enumeration
NPPES CertifiedJune 28, 2025
✔ NPI 1104619592 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · APCC19740
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3800 COOLIDGE AVE, Oakland, CA 94602
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104619592, enumerated as an "individual" on May 28, 2025.
The provider is located at 3800 COOLIDGE AVE OAKLAND, CA 94602 and the phone number is (510) 482-2244.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.