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Dr. Rachel Kim, Ph.D

Psychologist, Counseling in Daly City, CA. Individual provider (NPI-1).

NPI number1699149484
StatusActive
Last updated in NPPESMay 4, 2022

Details

NPI
1699149484
Entity type
Individual (NPI-1)
Name
Dr. Rachel Kim
Credential
Ph.D
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 17, 2015
Certification date
May 4, 2022
Last updated
May 4, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC1900X Psychologist, Counseling26601CAYes

Practice location

2001 Junipero Serra Blvd
Daly City, CA 94014-3891

Phone 650-991-6200

Mailing address

2001 Junipero Serra Blvd
Daly City, CA 94014-3891

Phone 650-991-6200

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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