Provider Demographics
NPI:1952368508
Name:KIM, YOUNG SHIN (MD, MS, MPH, PHD)
Entity Type:Individual
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First Name:YOUNG SHIN
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:MD, MS, MPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:401 PAMASSUS AVE, BOX 0984
Mailing Address - Street 2:LP377
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143
Mailing Address - Country:US
Mailing Address - Phone:415-502-2999
Mailing Address - Fax:415-476-7320
Practice Address - Street 1:401 PARNASSUS AVE
Practice Address - Street 2:BOX 0984 LP377
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143
Practice Address - Country:US
Practice Address - Phone:415-502-2999
Practice Address - Fax:415-476-7320
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT0437572084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry