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MO SE KIM
NPI 1215634712
Counselor - Professional in Buena Park, CA

Active since February 14, 2023PECOS Enrolled
6930 BEACH BLVD UNIT L141, BUENA PARK, CA 90621(714) 872-2291 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2024, Feb 15, 2023 (2 updates tracked since 2023).

About Mo Se Kim NPPES

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

MO SE KIM (NPI 1215634712) is an individual professional provider in Buena Park, California, licensed in California (16606) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215634712
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMO SE KIM
Location Address6930 BEACH BLVD UNIT L141Buena Park, CA 90621-6856
Mailing Address6060 N Paramount BlvdLong Beach, CA 90805-3711 · (562) 630-8672
Phone(714) 872-2291
Sole ProprietorYes
Enumeration DateFebruary 14, 2023
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1215634712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 16606
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 5840 (CA), 16606 (CA)
6930 BEACH BLVD UNIT L141, Buena Park, CA 90621
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mo Se Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Mo Kim's NPI number?

The NPI number for Mo Kim is 1215634712. It was assigned to this individual provider in the NPPES registry on February 14, 2023.

Where is Mo Kim located?

Mo Kim practices at 6930 Beach Blvd Unit L141, Buena Park, CA 90621. The listed phone number is (714) 872-2291.

What is Mo Kim's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mo Kim enrolled in Medicare?

Yes. Mo Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mo Kim was last updated on April 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.