Yi Sun Kim | Yorba Linda, CA • PECOS Search

Yi Sun Kim

Marriage & Family Therapist

Behavioral Health & Social Service Providers

18200 Yorba Linda Blvd Ste 401, Yorba Linda, CA 92886-4061

PECOS Enrollment

Based on the most recent information from CMS, provider Yi Sun Kim does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1598783813
Provider Type
Individual
Full Name
Kim, Yi Sun
Credential
MFTI

Gender
Female
Sole Proprietor
No
Enumeration Date
7/17/2006
Last Updated
12/8/2015

Contact Information

Practice Location

18200 Yorba Linda Blvd Ste 401, Yorba Linda, CA 92886-4061

Unlisted Fax

Mailing Location

21209 Bloomfield Ave, 42, Lakewood, CA 90715-2368

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 48677 California