Individual
EDWARD KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3333 SKYPARK DR STE 220, TORRANCE, CA 90505-5035
(855) 501-1004
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(916) 576-7900
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
849520
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95017647
CA
Other
Enumeration date
08/29/2021
Last updated
03/02/2026
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