Tae Young Kim
Individual provider Active NPI Pharmacist · Hawaiian Gardens, CA
NPI 1023965241 · NPPES record last updated Mar 16, 2026
Key facts
- NPI
- 1023965241
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 246726 (AK)
- Practice address
- 21925 Belshire Ave Apt 1
Hawaiian Gardens, CA 90716-2461 - Phone
- (213) 598-5623
- NPI assigned
- Mar 16, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246726 | AK | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 246726 | AK | Yes |
Addresses
Primary practice location
21925 Belshire Ave Apt 1
Hawaiian Gardens, CA 90716-2461
Mailing address
21925 Belshire Ave Apt 1
Hawaiian Gardens, CA 90716-2461
Other names
- Taeyoung Kim
Other providers in Hawaiian Gardens, CA
- Jnjrx Inc
- Jse Emergency Medical Group
- JWCH Institute, Inc
- Keun Chan Lee DDS Inc
- Kristen Carolyn Killackey
- Young Rae Kim
- KND Development 53, L.L.C.
- Kwang Seob Kim DDS Inc
- Gloria Cristina Lainez
- Yanina V Lambert
All providers in Hawaiian Gardens, CA · Pharmacist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.