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CHARLIE KIM
NPI 1851681886
Student in an Organized Health Care Education/Training Program in Gardena, CA

Active since April 11, 2011
130 W VICTORIA ST, GARDENA, CA 90248(310) 715-2020 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charlie Kim NPPES

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

CHARLIE KIM (NPI 1851681886) is an individual student in an organized health care education/training program in Gardena, California and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1851681886
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLIE KIM
Location Address130 W VICTORIA STGardena, CA 90248-3523
Mailing Address130 W Victoria StGardena, CA 90248-3523 · (310) 715-2020
Phone(310) 715-2020
Sole ProprietorNo
Enumeration DateApril 11, 2011
✔ NPI 1851681886 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.
130 W VICTORIA ST, Gardena, CA 90248
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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.

JESSIE JR. N/A GALLOWAY N/A
Counselor
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
SARAH ELIZABETH HARMAN
Student in an Organized Health Care Education/Training Program
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MS. MANUELA CHRISTINE SIRIACO M.A.
Marriage & Family Therapist
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
DR. NATASHA MONTEZ SHAW-CLARK
Counselor (Addiction (Substance Use Disorder))
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
NWANYIOZO SHALONDA OFOEGBU
Social Worker
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MR. JOSEPH BRETONECHE BA
Rehabilitation Practitioner
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MARY ANNETTE JAMISON
Counselor
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020
MRS. JAMIE D. RUSSELL
Counselor (Mental Health)
130 W VICTORIA ST
GARDENA, CA 90248
Los Angeles County (310) 715-2020

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 Charlie Kim's NPI number?

The NPI number for Charlie Kim is 1851681886. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Charlie Kim located?

Charlie Kim practices at 130 W Victoria St, Gardena, CA 90248. The listed phone number is (310) 715-2020.

What is Charlie 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 Charlie Kim was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.