MISS SO HYEOUNG KIM NPI 1346111879

NPI Information

  • NPI: 1346111879
  • Provider Name: MISS SO HYEOUNG KIM
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 1650 AMBERWOOD DR APT C
    SOUTH PASADENA, CA
    ZIP 91030
  • Phone: (626) 476-1139

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NPI Details

MISS So Hyeoung Kim is a primary care nurse practitioner in South Pasadena, CA. MISS So Hyeoung Kim NPI is 1346111879. 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:

1650 AMBERWOOD DR APT C
SOUTH PASADENA, CA
ZIP 91030-926
Phone: (626) 476-1139

The enumeration date for this NPI number is 9/17/2025 and was last updated on 9/17/2025.

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
1363LP2300XNurse PractitionerPrimary CareNP95035312CALIFORNIAYes

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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