YVETT YOON KIM FNP NPI 1558090498

NPI Information

  • NPI: 1558090498
  • Provider Name: YVETT YOON KIM, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12362 BEACH BLVD STE 10
    STANTON, CA
    ZIP 90680
  • Phone: (714) 248-9500

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NPI Details

Yvett Yoon Kim, FNP is a family nurse practitioner in Stanton, CA. Yvett Yoon Kim, FNP NPI is 1558090498. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12362 BEACH BLVD STE 10
STANTON, CA
ZIP 90680-944
Phone: (714) 248-9500
Fax: (714) 622-4943

The NPI 1558090498 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 6/7/2022 and was last updated on 10/6/2022.

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
1363LF0000XNurse PractitionerFamilyF06220317CALIFORNIAYes

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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