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SHANNON MOA KIM
NPI 1194593699
Day Training/Habilitation Specialist in Los Angeles, CA

Active since December 13, 2023
3727 W 6TH ST STE 402, LOS ANGELES, CA 90020(213) 365-7400 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2025, Dec 13, 2023 (2 updates tracked since 2023).

About Shannon Moa Kim NPPES

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

SHANNON MOA KIM (NPI 1194593699) is an individual day training/habilitation specialist in Los Angeles, California and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1194593699
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameSHANNON MOA KIM
Location Address3727 W 6TH ST STE 402Los Angeles, CA 90020-5112
Mailing Address3727 W 6th St Ste 402Los Angeles, CA 90020-5112 · (213) 365-7400
Phone(213) 365-7400
Sole ProprietorNo
Enumeration DateDecember 13, 2023
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1194593699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
3727 W 6TH ST STE 402, Los Angeles, CA 90020
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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.

DR. VERNON ANTHONY ROSARIO II MD, PHD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3727 W 6TH ST STE 402
LOS ANGELES, CA 90020
Los Angeles County (213) 365-7400
HYEONKU LEE
Community Health Worker
3727 W 6TH ST STE 402
LOS ANGELES, CA 90020
Los Angeles County (213) 365-7400
MINJU PARK
Counselor (Professional)
3727 W 6TH ST STE 402
LOS ANGELES, CA 90020
Los Angeles County (617) 745-2762
ESTHER SHIN
Community Health Worker
3727 W 6TH ST STE 402
LOS ANGELES, CA 90020
Los Angeles County (213) 365-7400
LIGIA PACHECO PAZ
Social Worker (Clinical)
3727 W 6TH ST STE 402
LOS ANGELES, CA 90020
Los Angeles County (212) 365-7400
HAN NA KIM
Social Worker (Clinical)
3727 W 6TH ST STE 402
LOS ANGELES, CA 90020
Los Angeles County (213) 365-7400
MI JOUNG PARK
Marriage & Family Therapist
3727 W 6TH ST STE 402
LOS ANGELES, CA 90020
Los Angeles County (213) 365-7400
ASHLEY XU
Social Worker (Clinical)
3727 W 6TH ST STE 402
LOS ANGELES, CA 90020
Los Angeles County (213) 365-7400

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 Shannon Kim's NPI number?

The NPI number for Shannon Kim is 1194593699. It was assigned to this individual provider in the NPPES registry on December 13, 2023.

Where is Shannon Kim located?

Shannon Kim practices at 3727 W 6th St Ste 402, Los Angeles, CA 90020. The listed phone number is (213) 365-7400.

What is Shannon Kim's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Shannon Kim was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.