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Individual
COLUMBA Y KIM
Active
Individual
COLUMBA Y KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS11978
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06J8317
CHAMPUS
CA
01
—
217238
MHN
—
05
—
2301432
—
CA
01
—
63666
UNITED BEHAVIORAL HEALTH
—
01
—
7132079
SAN FRANCISCO MENTAL HEAL
—
01
—
764178
ALAMEDA PROVIDER ID
CA
01
—
80512
SAN MATEO PROVIDER PIN
CA
01
—
CSW119780
MEDICAL
CA
01
—
U204
CITY HEALTH PLAN
CA
Enumeration date
08/21/2006
Last updated
03/18/2015
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