Active NPI
Yeun Hee Kim, NURSE PRACTITIONER
- Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1154433258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP7102
- Practice address
- 2030 W Pico Blvd
Los Angeles, CA 90006-5011 - Phone
- (213) 389-4544
- Fax
- (213) 389-4554
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP7102 | CA | Primary |
Addresses
Primary practice location
2030 W Pico Blvd
Los Angeles, CA 90006-5011
Mailing address
2030 W Pico Blvd
Los Angeles, CA 90006-5011
Phone (213) 389-4544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00054706 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP7102 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Los Angeles Oncology Medical Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Los Angeles, CA
- NPI 1295746394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1154433258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2030 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900065011",
"telephone_number": "213-389-4544",
"fax_number": "213-389-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2030 W PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900065011",
"telephone_number": "213-389-4544",
"fax_number": "213-389-4554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YEUN",
"middle_name": "HEE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP7102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00054706",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.