SOO YEON KIM
NPI 1508794629
Student in an Organized Health Care Education/Training Program in Goleta, CA

Active since May 11, 2026
5580 CALLE REAL, GOLETA, CA 93111(805) 617-7878 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Soo Yeon Kim NPPES

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

SOO YEON KIM (NPI 1508794629) is an individual student in an organized health care education/training program in Goleta, California and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1508794629
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSOO YEON KIM
Location Address5580 CALLE REALGoleta, CA 93111-1646
Mailing Address2900 Fairway Ave Apt 408Glendale, CA 91214-4302
Sole ProprietorYes
Enumeration DateMay 11, 2026
NPPES CertifiedMay 10, 2026
NPI 1508794629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
5580 CALLE REAL, Goleta, CA 93111

Other Providers at the Same Location NPPES 11

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

General Practice
5580 CALLE REAL
GOLETA, CA 93111
Clinic/Center (Federally Qualified Health Center (FQHC))
5580 CALLE REAL
GOLETA, CA 93111
Physician Assistant
5580 CALLE REAL
GOLETA, CA 93111
Social Worker (Clinical)
5580 CALLE REAL
GOLETA, CA 93111
Internal Medicine
5580 CALLE REAL
GOLETA, CA 93111
Podiatrist
5580 CALLE REAL
GOLETA, CA 93111
Social Worker (Clinical)
5580 CALLE REAL
GOLETA, CA 93111
Family Medicine
5580 CALLE REAL
GOLETA, CA 93111

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 Soo Yeon Kim's NPI number?

The NPI number for Soo Yeon Kim is 1508794629. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Soo Yeon Kim located?

Soo Yeon Kim practices at 5580 Calle Real, Goleta, CA 93111. The listed phone number is (805) 617-7878.

What is Soo Yeon 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 Soo Yeon Kim was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.