Mira Kim

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

95034754 Issued in CA

Practice address

2888 Long Beach Blvd Ste 340
Long Beach, CA 90806-1552

Phone

(562) 933-0590

NPI assigned

Aug 7, 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

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": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1457236689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16358 CAMEO CT",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906044031",
            "telephone_number": "714-353-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD STE 340",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061552",
            "telephone_number": "562-933-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95034754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvie Kim, MD
• Michelle Elizabeth Kim, M.D.
• Michelle Heejin Kim
• Mideum Timothy Kim, NURSE PRACTITIONER
• Min Kyoung Kim, PHARMD
• Monica Kim, M.D.
• Monthor Rene Kim, OTR
• Patrick Kim, D.C.
• Paul Jung Kim, D.D.S M.D.
• Ronald C Kim, MD

• Women's Health Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.