Yooron Kim
Nurse Practitioner - Adult Health Nurse Practitioner - Primary Care
12900 Park Plaza Dr Ste 150
Cerritos
, California 90703-9329
Yooron Kim
Nurse Practitioner - Adult Health Nurse Practitioner - Primary Care
12900 Park Plaza Dr Ste 150
Cerritos
, California 90703-9329
(562) 741-4479
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Yooron Kim
- 12900 Park Plaza Dr Ste 150
- Cerritos, CA
- Zip : 90703-9329
- Fax : (562) 741-4479
- Phone :
Second Address
- Yooron Kim
- 12900 Park Plaza Dr Ste 150
- Cerritos, CA
- Zip : 90703-9329
- Fax : (562) 741-4479
- Phone : (562) 622-2800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2200X | Nurse Practitioner - Adult Health | 95015346 | CA |
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 95015346 | CA |
National Provider Identifier
| NPI | 1023785987 |
|---|---|
| Provider Name | Yooron Kim |
| First Address | Cerritos, CA 90703-9329 |
| Second Address | Cerritos, CA 90703-9329 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/08/2021 |
| Last Update Date | 28/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.