Individual provider · Type 1 NPI
Kwon Soon Yoo Kim, NURSE PRACTIONER
Nurse Practitioner · San Gabriel, CA
Practice location
1840 S. San Gabriel Blvd,
San Gabriel, CA 91776-3930
Fax (626) 307-7369
Mailing address
519 S. Topside Pl.
Diamond Bar, CA 91765-1879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | NP13939 (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 1720103427
Kwon Soon Yoo Kim, NURSE PRACTIONER's National Provider Identifier is 1720103427, issued on Mar 20, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Gabriel, CA. The record was last updated on Jul 8, 2007.