JESSIE KIM NPI 1356924195

NPI Information

Jessie Kim is a medical physician assistant in Los Angeles, CA. Jessie Kim NPI is 1356924195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5901 W CENTURY BLVD
LOS ANGELES, CA
ZIP 90045-411
Phone: (888) 312-6601

The NPI 1356924195 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/29/2021 and was last updated on 5/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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