Individual
JONATHAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1211 W IMPERIAL HWY STE 210, BREA, CA 92821-3733
(323) 970-2625
Mailing address
1211 W IMPERIAL HWY STE 210, BREA, CA 92821-3733
(323) 970-2625
(310) 496-6767
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95037573
CA
Other
Enumeration date
01/07/2026
Last updated
04/28/2026
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