BLOSSOM KIM


Address: 9108 Trumbauer Way, Elk Grove, CA 95758-7434
Phone: 9162074257

BLOSSOM KIM (NPI# 1871137976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871137976
Entity Type Individual
Full Name BLOSSOM KIM
Practice Address 9108 Trumbauer Way
Elk Grove
CA 95758-7434
Practice Telephone 9162074257
Mailing Telephone 9162074257
Enumeration Date 2019-10-31
Last Update Date 2019-10-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 9108 TRUMBAUER WAY
City ELK GROVE
State CA
Zip Code 95758-7434

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982244208 Obia Njoku Nurse Practitioner 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 2020-01-14
1992362362 Kimberly Abrahamson Student in an Organized Health Care Education/Training Program 9412 Big Horn Dr #6, Elk Grove, CA 95758 2019-05-21
1447737333 Elk Grove Rehab & Counseling Center Counselor 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 2018-07-24
1114424579 Arielle Mize Dietitian, Registered 8161 Sheldon Road, #103, Elk Grove, CA 95758 2018-04-11
1154822609 Eston Garcia Behavior Technician 2366 Martime Drive, Elk Grove, CA 95758 2018-02-21
1912406364 Nicole Torneros Behavior Technician 2336 Maritime Drive, Elk Grove, CA 95758 2018-02-12
1134628712 Northern California Vasectomy Family Medicine 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 2018-02-08
1083134399 Uchechi Mbonu Assisted Living Facility 7019 Mcgill Court, Elk Grove, CA 95758 2017-06-27
1922557362 Muhanad Aliakbar Driver 8275 Oakbriar Cir, Elk Grove, CA 95758 2016-09-27
1063868123 Teresa Vinciguerra Marriage & Family Therapist 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 2016-05-09
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700499126 Sulema Arizbeth Cortes Estrada Student in an Organized Health Care Education/Training Program 9227 Wollaston Way, Elk Grove, CA 95624-3568 2020-08-25
1881217909 Britney Ann Tennison Student in an Organized Health Care Education/Training Program 7712 Splendid Way, Elk Grove, CA 95758-9552 2020-05-22
1992362362 Kimberly Abrahamson Student in an Organized Health Care Education/Training Program 9412 Big Horn Dr #6, Elk Grove, CA 95758 2019-05-21
1285195982 Gopal Kodumudi Student in an Organized Health Care Education/Training Program 9741 Mckenna Dr, Elk Grove, CA 95757-4027 2019-03-26
1861990079 Alanna Crossman Student in an Organized Health Care Education/Training Program 8569 Mission Falls Cir, Elk Grove, CA 95624-3920 2018-01-23
1447635529 David Johnson Student in an Organized Health Care Education/Training Program 9666 Kent St, Elk Grove, CA 95624 2015-07-30
1760862437 Harpreet Singh Student in an Organized Health Care Education/Training Program 8617 Orison Ct, Elk Grove, CA 95624 2015-06-08
1174903918 Elise Boykin Student in an Organized Health Care Education/Training Program 10362 Aldinger Way, Elk Grove, CA 95757-3508 2015-06-07
1508256868 Daniel Aboubechara Student in an Organized Health Care Education/Training Program 8695 Bradshaw Rd, Elk Grove, CA 95624-9421 2015-01-26
1831591296 Desirae Spignor Student in an Organized Health Care Education/Training Program 8515 Elk Grove Florin Rd Apt 327, Elk Grove, CA 95624-9558 2014-09-17
Find all providers in ELK GROVE

Competitor

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City ELK GROVE
Zip Code 95758

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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