Dr. Daneil Imkyu Kim, psychologist
Psychologist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1013096551
StatusActive
Last updated in NPPESOct 17, 2011
Details
- NPI
- 1013096551
- Entity type
- Individual (NPI-1)
- Name
- Dr. Daneil Imkyu Kim
- Credential
- psychologist
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 3, 2006
- Last updated
- Oct 17, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | psy19028 | CA | Yes |
Other names
- Daniel Kim (Professional Name)
Practice location
550 S Vermont Ave Fl 4Los Angeles, CA 90020-1912
Phone 818-351-7737 · Fax 213-639-1361
Mailing address
12121 Shadow Ridge WayNorthridge, CA 91326-3826
Phone 818-360-6902 · Fax 818-997-8743
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