EDWARD KIM NPI 1053088799

NPI Information

NPI: 1053088799
Provider Name: EDWARD KIM
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
5199 E PACIFIC COAST HWY STE 330N
LONG BEACH, CA
ZIP 90804
Phone: (562) 365-2020
Get Directions

Edward Kim is a psychiatric/mental health nurse practitioner in Long Beach, CA with 3 years of experience. Edward Kim NPI is 1053088799. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5199 E PACIFIC COAST HWY STE 330N
LONG BEACH, CA
ZIP 90804-353
Phone: (562) 365-2020

The NPI 1053088799 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 8/29/2021 and was last updated on 8/29/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95017647	CALIFORNIA	Yes
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	849520	CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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