Provider Demographics
NPI:1831221217
Name:YONG, KIM YOONG
Entity type:Individual
Prefix:MRS
First Name:KIM
Middle Name:YOONG
Last Name:YONG
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:KIM
Other - Middle Name:YOONG
Other - Last Name:PELAEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3544 ANZA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2927
Mailing Address - Country:US
Mailing Address - Phone:415-752-0839
Mailing Address - Fax:
Practice Address - Street 1:3544 ANZA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-2927
Practice Address - Country:US
Practice Address - Phone:415-752-0839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA425471163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health