NPI
Ji Eun Kim
NPI 1386065092
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PA-C
- Type
- Individual
- Enumeration date
- 2013-12-23
- Last updated
- 2026-03-19
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Specialties
Licenses
- License PA
- MA056549
- License FL
- PA9107704
- License MN
- 13716
- License CA
- PA67248
- License WI
- 3934
Location
- Practice location
- 1500 San Pablo St Fl 4
- City
- Los Angeles CA
- Postal code
- 90033-5313
- Phone
- (323) 442-7400
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Los Angeles, CA. 83,770 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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