ANGIE EUNJI KIM
NPI 1205356029
Marriage & Family Therapist in Fullerton, CA

Q: What is Angie Kim's NPI number?

The NPI number for Angie Kim is 1205356029. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Q: What is Angie Kim's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Angie Kim was last updated on August 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 22, 2017

1513 E CHAPMAN AVE, FULLERTON, CA 92831(714) 526-4673(714) 526-3700 Get Directions Write a Review

NPPES record last updated: August 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2018, Jun 22, 2017 (2 updates tracked since 2017).

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About Angie Eunji Kim NPPES

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

ANGIE EUNJI KIM (NPI 1205356029) is an individual marriage & family therapist in Fullerton, California, licensed in California (104796) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1205356029

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameANGIE EUNJI KIM

Location Address1513 E CHAPMAN AVEFullerton, CA 92831

Mailing Address1513 E Chapman AveFullerton, CA 92831-4013 · (714) 526-4673 · Fax (714) 526-3700

Phone(714) 526-4673

Fax(714) 526-3700

Sole ProprietorNo

Enumeration DateJune 22, 2017

Last NPPES UpdateAugust 4, 20182 updates tracked since enumeration

✔ NPI 1205356029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 104796

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 4839 (CA)

1513 E CHAPMAN AVE, Fullerton, CA 92831

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH ANNE GOMEZ AMFT

Marriage & Family Therapist