Active NPI
Phoebe Kim
- Pharmacist
- Woodland Hills, CA
National Provider Identifier
1639846405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 91285
- Practice address
- 5601 De Soto Ave
Woodland Hills, CA 91367-6798 - Phone
- (818) 462-6984
- NPI assigned
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 91285 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 48250 | CA |
Addresses
Primary practice location
5601 De Soto Ave
Woodland Hills, CA 91367-6798
Mailing address
20716 Como LN
Porter Ranch, CA 91326-4189
Other practice location 1
1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806
Phone (626) 939-7013
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91285 | CA | MD | Pharmacist |
| 48250 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1639846405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20716 COMO LN",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913264189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 DE SOTO AVE",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913676798",
"telephone_number": "818-462-6984"
}
],
"practiceLocations": [
{
"address_1": "1011 Baldwin Park Blvd",
"address_purpose": "LOCATION",
"city": "Baldwin Park",
"state": "CA",
"postal_code": "917065806",
"country_code": "US",
"telephone_number": "626-939-7013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "PHOEBE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-27",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "91285",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "48250",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.