Individual provider · Type 1 NPI

Yooron Kim

Primary Care Nurse Practitioner · Cerritos, CA

NPI number 1023785987 Active

Practice location

12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329

Fax (562) 741-4479

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X95015346 (CA)
Registered Nurse 163W00000X815629 (CA)
Adult Health Nurse Practitioner 363LA2200X95015346 (CA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1023785987

Yooron Kim's National Provider Identifier is 1023785987, issued on Aug 26, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Cerritos, CA. The record was last updated on Dec 28, 2021.