Individual
JI IN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP-PC
Contact information
Practice address
123 PAYTON, IRVINE, CA 92620-3514
(617) 470-4448
Mailing address
123 PAYTON, IRVINE, CA 92620-3514
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
PENDING
CA
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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