Individual provider · Type 1 NPI

Mia Deborah Lee Kim, NP

Nurse Practitioner · Irvine, CA

NPI number 1689917494 Active

Practice location

1 Medical Plaza Drive
Irvine, CA 92697-5336

Mailing address

200 S Manchester Ave Ste 300
Orange, CA 92868-3219

Other practice locations

  • 5 Journey, Suite 210, Aliso Viejo, CA 92656-5336 · (949) 305-7122

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP22238 (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 1689917494

Mia Deborah Lee Kim, NP's National Provider Identifier is 1689917494, issued on Mar 29, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Irvine, CA. The record was last updated on Feb 21, 2023.