Individual provider · Type 1 NPI

Jelina Kim, NP

Nurse Practitioner · Lakewood, CA

NPI number 1891504023 Active

Practice location

3700 South St
Lakewood, CA 90712-1419

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95031919 (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 1891504023

Jelina Kim, NP's National Provider Identifier is 1891504023, issued on Jan 2, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lakewood, CA. The record was last updated on Nov 1, 2026.