Christine E Kim, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY25323 Issued in CA

Practice address

7342 Orangethorpe Ave Ste B111
Buena Park, CA 90621-4546

Phone

(562) 445-4735

Fax

(562) 296-4450

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1194895078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7342 ORANGETHORPE AVE",
            "address_2": "STE B121",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214547",
            "telephone_number": "562-445-4735",
            "fax_number": "562-296-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7342 ORANGETHORPE AVE STE B111",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214546",
            "telephone_number": "562-445-4735",
            "fax_number": "562-296-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTINE",
        "middle_name": "E",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim & Lee DDS Inc.
• Kim Youngrae Medical, Inc
• Ashlie J Kim
• Chang Ho Kim, LAC
• Christine Kim
• Daniel Seung Kim
• Eugene Duejin Kim, D.D.S.
• Eui Jean Kim
• Eun Kim
• Eun Jin Kim

• Clinical Psychologist in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.