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KRISTEN KIM MD NPI 1407410533


NPI Information

NPI: 1407410533
Provider Name: KRISTEN KIM, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
9500 GILMAN DR # 851
LA JOLLA, CA
ZIP 92093
Phone: (619) 471-0209
Get Directions

Kristen Kim, MD is a child and adolescent psychiatry psychiatry neurology in La Jolla, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Kristen Kim, MD NPI is 1407410533. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9500 GILMAN DR # 851
LA JOLLA, CA
ZIP 92093-851
Phone: (619) 471-0209

The NPI 1407410533 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2019 and was last updated on 3/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry1074CALIFORNIANo
22084P0800XPsychiatry & NeurologyPsychiatry178194CALIFORNIANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
42084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryA178194CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.