Dr Elizabeth J Kim, PHD is a
Psychologist based in Gardengrove, California. Dr Elizabeth J Kim is licensed to practice in California (license number PSY 12964) and her current practice location is
13030 Euclid St., Ste 118, Gardengrove, California. She can be reached at her office (for appointments etc.) via phone at
(714) 537-5400.
NPI number for Dr Elizabeth J Kim is 1669480778 and her current mailing address is 13030 Euclid St, Ste 118, Garden Grove, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669480778.
Healthcare Provider's Profile
| Full Name | Dr Elizabeth J Kim |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 13030 Euclid St., Gardengrove, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669480778
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 06/13/2012
Medical Identifiers
Medical identifiers for Dr Elizabeth J Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669480778 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | PSY 12964 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Elizabeth J Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Elizabeth J Kim, PHD
13030 Euclid St, Ste 118,
Garden Grove, CA 92843-1334
Ph: (714) 537-5400 | Dr Elizabeth J Kim, PHD
13030 Euclid St., Ste 118,
Gardengrove, CA 92843-1334
Ph: (714) 537-5400 |
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