Individual provider · Type 1 NPI

Mideum Timothy Kim, NURSE PRACTITIONER

Family Nurse Practitioner · Long Beach, CA

NPI number 1386333151 Active

Practice location

2776 Pacific Ave
Long Beach, CA 90806-2613

Call (562) 997-2049 Map

Fax (562) 595-6985

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	NP95024886 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1386333151

Mideum Timothy Kim, NURSE PRACTITIONER's National Provider Identifier is 1386333151, issued on May 5, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Long Beach, CA. The record was last updated on Oct 16, 2023.