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Organization

HOUSING 4 ALL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE KIM (CEO)
(626) 217-3201
Entity
Organization

Contact information

Practice address
1115 MOUND AVE APT A, SOUTH PASADENA, CA 91030-3281
(626) 217-3205
Mailing address
1115 MOUND AVE APT A, APT. A, SOUTH PASADENA, CA 91030-3281
(626) 217-3205

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
10/13/2025
Last updated
10/13/2025
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