Active NPI
Eun Kim
- Marriage & Family Therapist
- Buena Park, CA
National Provider Identifier
1891104972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 7212 Orangethorpe Ave
Suite 8
Buena Park, CA 90621-3341 - Phone
- (714) 449-1125
- NPI assigned
- Aug 4, 2014
- Last updated
- Aug 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | NU | Primary |
Addresses
Primary practice location
7212 Orangethorpe Ave
Suite 8
Buena Park, CA 90621-3341
Mailing address
2011 Hughes Dr
Fullerton, CA 92833-5097
Phone (714) 502-4293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KCS, Inc. | Past | Accepting new patients | |
| Orange County Asian & Pacific Islander Community Alliance | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Buena Park, CA
- NPI 1104484344
-
- Community/Behavioral Health Agency
- Garden Grove, CA
- NPI 1730323585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1891104972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 HUGHES DR",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928335097",
"telephone_number": "714-502-4293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7212 ORANGETHORPE AVE",
"address_2": "SUITE 8",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906213341",
"telephone_number": "714-449-1125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "EUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-04",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.