Active NPI
Jon Kim, PSYD
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1235054784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 36891
- Practice address
- 7300 Sunset Blvd
Ste L PMB 1037
Los Angeles, CA 90046 - Phone
- (213) 293-6112
- NPI assigned
- Aug 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 36891 | CA | Primary |
Addresses
Primary practice location
7300 Sunset Blvd
Ste L PMB 1037
Los Angeles, CA 90046
Mailing address
7300 W Sunset Blvd
Ste L PMB 1037
Los Angeles, CA 90046-3429
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1235054784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 W SUNSET BLVD",
"address_2": "STE L PMB 1037",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900463429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 SUNSET BLVD",
"address_2": "STE L PMB 1037",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90046",
"telephone_number": "213-293-6112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JON",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-12",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "36891",
"primary": true
}
],
"identifiers": [],
"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 Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.