SANG EUN KIM PPS
NPI 1104796853
Counselor - School in Fremont, CA
- Individual
- Female
- Counselor
- School
About SANG EUN KIM
This page provides the complete NPI Profile along with additional information for Sang Eun Kim, a provider established in Fremont, California with a medical specialization in Counselor, focusing in school . The healthcare provider is registered in the NPI registry with number 1104796853 assigned on November 2025. The practitioner's primary taxonomy code is 101YS0200X with license number 210128275 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1104796853 Verify this NPI
- Provider Name
- SANG EUN KIM PPS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 34400 MAYBIRD CIR FREMONT, CA 94555
- Location Phone
- (224) 475-2424
- Mailing Address
- 34400 MAYBIRD CIR FREMONT, CA 94555
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-07-2025
- Last Update Date
- 11-07-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor School
- Taxonomy Code
- 101YS0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 210128275
- License State
- CA
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104796853, enumerated as an "individual" on November 07, 2025.
The provider is located at 34400 MAYBIRD CIR FREMONT, CA 94555 and the phone number is (224) 475-2424.
Counselor with taxonomy code 101YS0200X and a focus in School.
