Individual provider · Type 1 NPI
Kyoung Jin Kim, AGNP-BC
Primary Care Nurse Practitioner · Gardena, CA
NPI number
1609392919
Active
Practice location
15435 S Western Ave Ste 201
Gardena, CA 90249-4324
Mailing address
3185 Wilshire Blvd Unit 744
Los Angeles, CA 90010-1252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 714565 (CA) |
| Adult Health Nurse Practitioner | 363LA2200X | NP95006053 (CA) |
| Gerontology Nurse Practitioner | 363LG0600X | NP95006053 (CA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | NP95006053 (CA) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
Other primary care nurse practitioner providers in Gardena
About NPI 1609392919
Kyoung Jin Kim, AGNP-BC's National Provider Identifier is 1609392919, issued on Aug 17, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Gardena, CA. The record was last updated on Aug 17, 2017.