Kim, Deisy
Kim, Deisy is an individual health care provider with primary practice located at 33122 Valle Rd , San Juan Capistrano CA 92675-4859. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kim, Deisy can be contacted via phone (714) 794-9530.Contact Information
Primary practice address
33122 Valle Rd
San Juan Capistrano CA 92675-4859
Phone: (714) 794-9530
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPCC18010 | California |
Profile Details
| NPI number | 1336790203 |
|---|---|
| LBN Legal business name | Kim, Deisy |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2019 |
| Last updated | Jul 14th, 2026 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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