MIRA JOAN KIM MSW - NPI 1134326853 - Counselor in Los Angeles, CA

Q: What is Mira Kim's NPI number?

The NPI number for Mira Kim is 1134326853. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Q: What is Mira Kim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Mira Kim was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mira Joan Kim Msw NPPES

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

MIRA JOAN KIM MSW (NPI 1134326853) is an individual mental health provider in Los Angeles, California, licensed in California (20229) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1134326853

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMIRA JOAN KIMCredential: MSW

Location Address1605 EASTLAKE AVELos Angeles, CA 90033-1009

Mailing Address1605 Eastlake AveLos Angeles, CA 90033-1009 · (323) 226-8826 · Fax (323) 226-8820

Phone(323) 226-8826

Fax(323) 226-8820

Sole ProprietorNo

Enumeration DateJune 27, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1134326853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · 20229

1605 EASTLAKE AVE, Los Angeles, CA 90033

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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.

DONNA PEREZ MSW

Social Worker (Clinical)