Kim, Lydia

Kim, Lydia is an individual health care provider with primary practice located at 1339 20Th St , Santa Monica CA 90404-2033. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Kim, Lydia can be contacted via phone (310) 829-8712.

Contact Information

Primary practice address
1339 20Th St Santa Monica CA 90404-2033
Phone: (310) 829-8712
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1952701773
LBN Legal business name Kim, Lydia
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2014
Last updated Sep 28th, 2022 - about 3 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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