Individual provider · Type 1 NPI

Stephanie Kim

Critical Care Pediatric Nurse Practitioner · Los Angeles, CA

NPI number 1407517709 Active

Practice location

757 Westwood Plz
Los Angeles, CA 90095-8358

Call (310) 825-6752 Map

Fax (310) 267-3856

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Specialties and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X95018364 (CA)
Nurse Practitioner 363L00000X95018364 (CA)

Critical Care Pediatric Nurse Practitioner: Definition to come...

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About NPI 1407517709

Stephanie Kim's National Provider Identifier is 1407517709, issued on Jan 7, 2022. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 13, 2026.