Young Ji Jenice Kim, M.D.
Psychiatry & Neurology, Psychiatry in Pasadena, CA. Individual provider (NPI-1).
NPI number1154773422
StatusActive
Last updated in NPPESJun 21, 2022
Details
- NPI
- 1154773422
- Entity type
- Individual (NPI-1)
- Name
- Young Ji Jenice Kim
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2016
- Certification date
- Jun 21, 2022
- Last updated
- Jun 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | A140581 | CA | Yes |
Practice location
92 N Madison Ave Ste 2Pasadena, CA 91101-1740
Phone 626-784-6604 · Fax 626-412-3808
Mailing address
92 N Madison Ave Ste 2Pasadena, CA 91101-1740
Phone 626-784-6604 · Fax 626-412-3808
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