K Therapy for Restoration, Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

K THERAPY FOR RESTORATION, INC

Practice address

265 S. Randolph Ave.
#185
Brea, CA 92821

Phone

(657) 377-5522

NPI assigned

Nov 1, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eui Jean Kim, LMFT

Title

Therapist

Phone

(657) 377-5522

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1134836000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 S. RANDOLPH AVE",
            "address_2": "#185",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S. RANDOLPH AVE.",
            "address_2": "#185",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "657-377-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K THERAPY FOR RESTORATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "657-377-5522",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Brea, CA
• Providers in Brea, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.