CHANGHO KIM
NPI 1174306872
Student in an Organized Health Care Education/Training Program in Glendale, CA

Q: What is Changho Kim's NPI number?

The NPI number for Changho Kim is 1174306872. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Q: What is Changho Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Changho Kim was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 16, 2023

333 W LORAINE ST APT 106, GLENDALE, CA 91202(661) 565-5932 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Changho Kim NPPES

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

CHANGHO KIM (NPI 1174306872) is an individual student in an organized health care education/training program in Glendale, California and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1174306872

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCHANGHO KIM

Location Address333 W LORAINE ST APT 106Glendale, CA 91202-4423

Mailing Address333 W Loraine St Apt 106Glendale, CA 91202-4423 · (661) 565-5932

Phone(661) 565-5932

Sole ProprietorYes

Enumeration DateAugust 16, 2023

NPPES CertifiedAugust 16, 2023

✔ NPI 1174306872 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.

333 W LORAINE ST APT 106, Glendale, CA 91202

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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 Changho Kim's NPI number?

The NPI number for Changho Kim is 1174306872. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Where is Changho Kim located?

Changho Kim practices at 333 W Loraine St Apt 106, Glendale, CA 91202. The listed phone number is (661) 565-5932.

What is Changho 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 Changho Kim was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.