Kim, Jessica

Kim, Jessica is an individual health care provider with primary practice located at 3303 Harbor Blvd B8, Costa Mesa CA 92626-1530. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Kim, Jessica can be contacted via phone (714) 786-6069.

Contact Information

Primary practice address
3303 Harbor Blvd B8 Costa Mesa CA 92626-1530
Phone: (714) 786-6069
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-13-5708 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-18-33349 California

Profile Details

NPI number 1841671088
LBN Legal business name Kim, Jessica
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2015
Last updated Feb 8th, 2019 - about 7 years 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.

Request for update

Popular Providers