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Min Seop Kim , MS

Behavior Analyst β€’ Gardena, CA

Active NPI 1639729569 Individual Practitioner Male Practitioner
Practice location in NPPES

1411 W 190th St
Gardena, CA 902484324

Call 3107193908 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1411 W 190th St

Gardena, CA 902484324

Telephone 3107193908
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Torrance, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gardena and California

268 active clinicians are listed under Behavior Analyst with a practice address in Gardena, CA (20,363 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gardena

0% of these 268 clinicians have the CMS telehealth indicator.

0% of these 268 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-09
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES CA 1-23-69112

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

25930 Rolling Hills Rd Apt 403

Torrance, CA 905057203

Phone: 6263880498

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

23 Historical Events
πŸ“
Updated Practice Location April 09, 2026

Registered at 1411 W 190TH ST, GARDENA, CA 902484324 (Tel: 3107193908)

πŸ“
Updated Business Mailing Address April 09, 2026

Registered at 1411 W 190TH ST, GARDENA, CA 902484324 (Tel: 3107193908)

πŸ“
Updated Practice Location March 30, 2025

Registered at 103 N ASHWOOD AVE APT 906, VENTURA, CA 930031847 (Tel: 6263880498)

πŸ“
Updated Business Mailing Address March 30, 2025

Registered at 103 N ASHWOOD AVE APT 906, VENTURA, CA 930031847 (Tel: 6263880498)

πŸ“
Updated Practice Location March 21, 2024

Registered at 914 140TH AVE NE STE 201, BELLEVUE, WA 980053482 (Tel: 8552237123)

πŸ“
Updated Business Mailing Address March 21, 2024

Registered at PO BOX 33568, SAN DIEGO, CA 921633568 (Tel: 8552237123)

πŸ“
Updated Practice Location February 28, 2024

Registered at 1800 BOREN AVE APT 2512, SEATTLE, WA 981013355 (Tel: 6263880498)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2023

Behavior Analyst (license number reported to NPPES: CA 1-23-69112)

πŸ“
Updated Practice Location May 11, 2023

Registered at 2023 DACIAN ST, WALNUT, CA 917893414 (Tel: 6263880498)

πŸ“
Updated Practice Location March 17, 2023

Registered at 1900 N D ST, SAN BERNARDINO, CA 924053912 (Tel: 9097011874)

πŸ‘€
Provider Name / Credentials Updated March 17, 2023

Recorded as MIN SEOP KIM, MS

πŸ”„
NPI Profile Reactivated February 21, 2023

Record officially reactivated for active practice on February 21, 2023

πŸ“
Updated Practice Location February 21, 2023

Registered at 3346 VAN TASSEL WAY, DUARTE, CA 910101647 (Tel: 6263933181)

πŸ“
Updated Business Mailing Address February 21, 2023

Registered at 2023 DACIAN ST, WALNUT, CA 917893414 (Tel: 6263880498)

πŸ‘€
Provider Name / Credentials Updated February 21, 2023

Recorded as MIN SEOP KIM, BA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2023

Technician, Other

⚠️
NPI Profile Deactivated July 16, 2020

NPPES lists this NPI as deactivated as of July 16, 2020; the reason is not published.

βœ…
NPI Profile Active September 12, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 12, 2019

Registered at 3346 VAN TASSEL WAY, DUARTE, CA 910101647 (Tel: 6263933181)

πŸ“
Business Mailing Address (Initial Record) September 12, 2019

Registered at 2023 DACIAN ST, WALNUT, CA 917893414 (Tel: 6263880498)

πŸ‘€
Provider Name / Credentials (Initial Record) September 12, 2019

Recorded as MIN SEOP KIM, BA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2019

Technician, Other

🟒
Initial NPI Registration & Enumeration September 12, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639729569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2019
Last Update: April 09, 2026
Sole Proprietor: Yes

Mailing Address

1411 W 190th St

Gardena, CA 902484324

Phone: 3107193908

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.