NATHAN JUNGWON KIM NPI 1336847797

NPI Information

  • NPI: 1336847797
  • Provider Name: NATHAN JUNGWON KIM
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8327 DAVIS ST STE 202
    DOWNEY, CA
    ZIP 90241
  • Phone: (562) 923-2445

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NPI Details

Nathan Jungwon Kim is a pediatrics nurse practitioner in Downey, CA with 4 years of experience. Nathan Jungwon Kim NPI is 1336847797. 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:

8327 DAVIS ST STE 202
DOWNEY, CA
ZIP 90241-998
Phone: (562) 923-2445

The NPI 1336847797 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 2/15/2023 and was last updated on 2/15/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsNP95024170CALIFORNIAYes

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: 11/21/2025

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