Hyomin Kim

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

95003913 Issued in CA

Practice address

7615 Eastern Ave
Bell Gardens, CA 90201-4509

Phone

(562) 927-1307

Fax

(562) 927-0978

NPI assigned

Jul 22, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Angela Sin Lway Chan MD Inc

  • Clinic/Center
  • Bell Gardens, CA
  • NPI 1952689572
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1295188464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 EASTERN AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902014509",
            "telephone_number": "562-927-1307",
            "fax_number": "562-927-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 EASTERN AVE",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902014509",
            "telephone_number": "562-927-1307",
            "fax_number": "562-927-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYOMIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95003913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balpreet Kaur, PA
• Kaylin Kelly
• Jada Star Kennedy
• Ki Baek Lee, DDS. Inc.
• Bock J Kim, DDS
• Jae Youn Kim, D.D.S
• Lillian Koe, M,D.
• Keiko Kondo
• Thein Kyaw, MD
• L. Thomas Miller DDS PC

• Gerontology Nurse Practitioner in Bell Gardens, CA
• Providers in Bell Gardens, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.