Individual provider · Type 1 NPI
Kisup Rhim, FNP
Family Nurse Practitioner · Buena Park, CA
NPI number
1336970052
Active
Practice location
5731 Beach Blvd, Room 202
Buena Park, CA 90621
Mailing address
165 Reed Land
La Habra, CA 90631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95027432 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1336970052
Kisup Rhim, FNP's National Provider Identifier is 1336970052, issued on Aug 13, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Buena Park, CA. The record was last updated on Aug 13, 2024.