Individual
JACQUELINE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8000
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32623
CA
103TC0700X
Clinical Psychologist
32623
CA
Other
Enumeration date
07/17/2013
Last updated
10/09/2025
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