Provider Demographics
NPI:1700952348
Name:LE, YEN KIM (MSW)
Entity Type:Individual
Prefix:
First Name:YEN
Middle Name:KIM
Last Name:LE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1470 GINDEN CT
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-4401
Mailing Address - Country:US
Mailing Address - Phone:408-431-8591
Mailing Address - Fax:
Practice Address - Street 1:1470 GINDEN CT
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-4401
Practice Address - Country:US
Practice Address - Phone:408-431-8591
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator