Bo Eun Kim, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3974 Pennsylvania Ave
Glendale, CA 91214-3793

Phone

(818) 390-2324

NPI assigned

Dec 5, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bonnie Kim Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Han Orthopaedics Inc

  • Health Service Clinic/Center
  • Los Angeles, CA
  • NPI 1316348253
  Medicare reassignment

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

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1326901414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3974 PENNSYLVANIA AVE UNIT 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912143794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3974 PENNSYLVANIA AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912143793",
            "telephone_number": "818-390-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BO EUN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "KIM",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kidscare Therapies a Professional Speech Pathology Corporation
• Kyungmi Colette Kim-Abiog, L.C.S.W.
• Aimee Kyungsun Kim
• Annie Ahhyun Kim, PHARMD
• Ashlynne Kim, OD
• Candace Kim
• Carolyn C Kim, OD
• Changho Kim
• Charles J Kim, DDS
• David Soo Hyun Kim, M.D.

• Physician Assistant in Glendale, CA
• Providers in Glendale, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.