MR. DANIEL CHONGMYUNG KIM
NPI 1114387339
Marriage & Family Therapist in San Diego, CA
About Mr. Daniel Chongmyung Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DANIEL CHONGMYUNG KIM (NPI 1114387339) is an individual marriage & family therapist in San Diego, California, licensed in California (LMFT78887) and active in the NPI registry since March 2016. He has opted out of Medicare through January 4, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Daniel Chongmyung Kim has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2026 through January 4, 2028.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92108
SAN DIEGO, CA 92108
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 Daniel Kim's NPI number?
The NPI number for Daniel Kim is 1114387339. It was assigned to this individual provider in the NPPES registry on March 1, 2016.
Where is Daniel Kim located?
Daniel Kim practices at 3160 Camino Del Rio S #304, San Diego, CA 92108. The listed phone number is (619) 819-0283.
What is Daniel Kim's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Daniel Kim enrolled in Medicare?
No. Daniel Kim has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Daniel Kim was last updated on March 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mr. Daniel Chongmyung Kim · NPI 1114387339
Marriage & Family Therapist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since March 1, 2016.
## Identity
- **NPI:** 1114387339 (Entity type: Individual)
- **Enumerated:** March 1, 2016
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** LMFT78887 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3160 CAMINO DEL RIO S, #304, San Diego, CA 92108-3813
- **Phone:** (619) 819-0283
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 4, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 1, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1114387339) · Data from the CMS NPPES public registry.