Meena Shim Kim, is a
Student In An Organized Health Care Education/training Program based in Santa Rosa, California. Meena Shim Kim is licensed to practice in * (Not Available) (license number ) and her current practice location is
3650 Standish Ave, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at
(707) 585-6108.
NPI number for Meena Shim Kim is 1134375694 and her current mailing address is 3650 Standish Ave, Santa Rosa, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134375694.
Healthcare Provider's Profile
| Full Name | Meena Shim Kim |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3650 Standish Ave, Santa Rosa, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1134375694
- Provider Enumeration Date: 08/14/2008
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Meena Shim Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134375694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Meena Shim Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Meena Shim Kim,
3650 Standish Ave,
Santa Rosa, CA 95407-8113
Ph: (707) 585-6108 | Meena Shim Kim,
3650 Standish Ave,
Santa Rosa, CA 95407-8113
Ph: (707) 585-6108 |
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