Individual provider · Type 1 NPI

Heedong Kim

Registered Nurse · Los Angeles, CA

NPI number 1104515436 Active

Practice location

400 S Western Ave Ste 204
Los Angeles, CA 90020-4115

Call (213) 770-2070 Map

Mailing address

905 Fedora St Apt 2
Los Angeles, CA 90006-1472

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	95253512 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104515436

Heedong Kim's National Provider Identifier is 1104515436, issued on May 3, 2023. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Los Angeles, CA. The record was last updated on May 3, 2023.