Individual provider · Type 1 NPI
So Yeon Kim, FNP
Psychiatric/Mental Health Nurse Practitioner · San Diego, CA
NPI number
1881201481
Active
Practice location
3811 Valley Centre Dr
San Diego, CA 92130-3318
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NPF95014953 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R266342 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1881201481
So Yeon Kim, FNP's National Provider Identifier is 1881201481, issued on Sep 28, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Diego, CA. The record was last updated on Apr 6, 2026.