| Elizabeth J. Kim, Ph.d., Inc. | |
|
13030 Euclid St Ste 118 Garden Grove CA 92843-1334 | |
| (714) 537-5400 | |
| (714) 537-5465 |
| Full Name | Elizabeth J. Kim, Ph.d., Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13030 Euclid St Ste 118, Garden Grove, California |
| Authorized Official Name and Position | Dasor Kim (OFFICE MANAGER) |
| Authorized Official Contact | 3239350960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth J. Kim, Ph.d., Inc. 13030 Euclid St Ste 118 Garden Grove CA 92843-1334 Ph: (714) 537-5400 | Elizabeth J. Kim, Ph.d., Inc. 13030 Euclid St Ste 118 Garden Grove CA 92843-1334 Ph: (714) 537-5400 |
| NPI Number | 1205467826 |
|---|---|
| Provider Enumeration Date | 02/02/2020 |
| Last Update Date | 02/02/2020 |
| Certification Date | 02/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205467826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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