Most Relevant Information
Provider Data
| NPI Number: | 1003331802 |
| Provider Name: | TIMOTHY KIM |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 34244 |
Most Important Dates
| Enumeration Date: | 08/14/2017 |
| Last Updated: | 01/23/2024 |
Provider Practice Location
1610 SCOTT ST
SAN FRANCISCO
CA
941153014
Practice Location Phone/Fax
| Phone: | 5103655066 |
| Fax: |
Provider Mailing Location
1402 17TH AVE
SAN FRANCISCO
CA
941223403
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |