Individual provider · Type 1 NPI

Ji Eun Kim, PA-C

Physician Assistant · Los Angeles, CA

NPI number 1386065092 Active

Practice location

1500 San Pablo St Fl 4
Los Angeles, CA 90033-5313

Call (323) 442-7400 Map

Mailing address

PO Box 50938
Los Angeles, CA 90074-0938

Other practice locations

200 1st St SW, Rochester, MN 55905-0001 · (507) 284-2511
1222 E Woodland Ave, Barron, WI 54812-1765 · (715) 537-3166
4367 NW American Ln, Lake City, FL 32055-4828 · (386) 758-6094

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	MA056549 (PA)
Physician Assistant	363A00000X	PA9107704 (FL)
Physician Assistant	363A00000X	13716 (MN)
Physician Assistant Primary	363A00000X	PA67248 (CA)
Physician Assistant	363A00000X	3934 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1386065092

Ji Eun Kim, PA-C's National Provider Identifier is 1386065092, issued on Dec 23, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 19, 2026.