| Doctor Name: | MRS. CAREY ANN KIM |
| NPI Number: | 1063530806 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | LCSW26886 |
| Business Practice Address: | 7621 Canoga Ave. Canoga Park, CA - 91304 |
| Business Phone Number: | 8185986900 |
| Business Fax Number: | 8185986971 |
| Mailing Address: | 7621 Canoga Ave, CANOGA PARK |
| State: | CA |
| Postal Code: | 913044912 |
| Phone Number: | 8185986900 |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2007 |
| NPI Last Update Date: | 10/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW26886 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |