Byung Rok Kim, MAOM, LAC
NPI 1851122907ActiveIndividual· Preferred Provider Organization· Federal Way, WA
Preferred Provider Organization (MAOM, LAC) in Federal Way, Washington, licensed in WA, with an NPI issued in August 2024.
Overview
| NPI | 1851122907 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MAOM, LAC |
| Sole proprietor | Yes |
| NPI issued | Aug 12, 2024 |
| Last updated in NPPES | Aug 12, 2024 |
| Certified by provider | Aug 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | AC61517510 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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