Individual provider · Type 1 NPI

Chung Won Kim

Nurse Practitioner · Fountain Valley, CA

NPI number 1386070894 Active

Practice location

11190 Warner Ave Ste 300
Fountain Valley, CA 92708-4045

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X21840 (CA)
Acute Care Nurse Practitioner 363LA2100X21840 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1386070894

Chung Won Kim's National Provider Identifier is 1386070894, issued on Sep 17, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fountain Valley, CA. The record was last updated on Jul 17, 2014.