Kim, Meena Shim

Kim, Meena Shim is an individual health care provider with primary practice located at 3650 Standish Ave , Santa Rosa CA 95407-8113. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Kim, Meena Shim can be contacted via phone (707) 585-6108.

Contact Information

Primary practice address
3650 Standish Ave Santa Rosa CA 95407-8113
Phone: (707) 585-6108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1134375694
LBN Legal business name Kim, Meena Shim
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2008
Last updated Jul 21st, 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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