MONA KIM RN MS MA PMHNP-BC NPI 1639578487

NPI Information

NPI: 1639578487
Provider Name: MONA KIM, RN, MS, MA, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1422 HARRISON ST
OAKLAND, CA
ZIP 94612
Phone: (510) 809-1780
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Mona Kim, RN, MS, MA, PMHNP-BC is a psychiatric/mental health nurse practitioner in Oakland, CA. Mona Kim, RN, MS, MA, PMHNP-BC NPI is 1639578487. 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:

1422 HARRISON ST
OAKLAND, CA
ZIP 94612-903
Phone: (510) 809-1780
Fax: (510) 893-1642

The enumeration date for this NPI number is 8/18/2014 and was last updated on 1/3/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	NP95003523	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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