Individual provider · Type 1 NPI
Jacey Kim
Family Nurse Practitioner · Los Angeles, CA
NPI number
1992438477
Active
Practice location
3030 W Olympic Blvd Ste 209
Los Angeles, CA 90006-6501
Mailing address
859 N Heliotrope Dr
Los Angeles, CA 90029-2521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | NP95020833 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1992438477
Jacey Kim's National Provider Identifier is 1992438477, issued on Jul 2, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 2, 2022.