Aimee Kyungsun Kim

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95030300 Issued in CA

Practice address

1911 W Glenoaks Blvd Ste B
Glendale, CA 91201-4746

Phone

(818) 843-6640

NPI assigned

Jun 18, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1447093356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 S COMMONWEALTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900046006",
            "telephone_number": "818-331-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 W GLENOAKS BLVD STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912014746",
            "telephone_number": "818-843-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "AIMEE",
        "middle_name": "KYUNGSUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95030300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidney Dialysis Center of Verdugo Hills,LLC
• Kidney Disease Consulting Group
• Kidney Disease Medical Group Inc
• Kidscare Therapies a Professional Speech Pathology Corporation
• Kyungmi Colette Kim-Abiog, L.C.S.W.
• Annie Ahhyun Kim, PHARMD
• Ashlynne Kim, OD
• Bo Eun Kim, PA
• Candace Kim
• Carolyn C Kim, OD

• Family Nurse Practitioner in Glendale, CA
• Providers in Glendale, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.