Kim, Kyoung Jin

Kim, Kyoung Jin is an individual health care provider with primary practice located at 15435 S Western Ave Ste 201 , Gardena CA 90249-4324. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Kim, Kyoung Jin can be contacted via phone (213) 215-7323.

Contact Information

Primary practice address
15435 S Western Ave Ste 201 Gardena CA 90249-4324
Phone: (213) 215-7323
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 714565 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X NP95006053 California
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X NP95006053 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP95006053 California

Profile Details

NPI number 1609392919
LBN Legal business name Kim, Kyoung Jin
Credentials AGNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2017
Last updated Aug 17th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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