Namkoong, Mimi

Namkoong, Mimi is an individual health care provider with primary practice located at 1111 Baker St , Costa Mesa CA 92626-4138. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Namkoong, Mimi can be contacted via phone (949) 910-6767.

Contact Information

Primary practice address
1111 Baker St Costa Mesa CA 92626-4138
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-23987 California

Profile Details

NPI number 1346789344
LBN Legal business name Namkoong, Mimi
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2017
Last updated Feb 23rd, 2017 - about 9 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