Kong, Charvie Kim
Kong, Charvie Kim is an individual health care provider with primary practice located at 6305 Woodman Ave , Van Nuys CA 91401-2346. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kong, Charvie Kim can be contacted via phone (562) 980-2525.Contact Information
Primary practice address
6305 Woodman Ave
Van Nuys CA 91401-2346
Phone: (562) 980-2525
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 72778 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | California | |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ASW108276 | California |
Profile Details
| NPI number | 1982057220 |
|---|---|
| LBN Legal business name | Kong, Charvie Kim |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2016 |
| Last updated | Jul 8th, 2022 - about 4 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.
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