Hyunjib Kim, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95022903 Issued in CA

Practice address

2615 Pacific Coast Hwy
Hermosa Beach, CA 90254-2225

Phone

(949) 441-0041

Fax

(949) 449-8666

NPI assigned

Oct 13, 2022

Sex

Male

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

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

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ehab Yacoub MD IncGroup PAC ID 5092099523, 179 clinicians

Flatow Medical Corporation ApcGroup PAC ID 6507273059, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ehab Yacoub MD Inc.

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713
  Medicare reassignment Care Compare group NPD
• Flatow Medical Corporation Apc

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1659970333
  Medicare reassignment Care Compare group NPD
• Kalm Minds Psychiatry Group

  • Psychiatry Physician
  • Hermosa Beach, CA
  • NPI 1932065612
  Medicare reassignment NPD Authorized official
• Wellness TMS LLC

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1023862737
  Medicare reassignment NPD
• Stephens Medical Corporation

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1235839002
  NPD
• Thomas Health Services Inc

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1659972099
  NPD
• Wellness Behavioral Health, PC

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1932994647
  NPD

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1659097459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 PACIFIC COAST HWY STE 330",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542227",
            "telephone_number": "949-441-0041",
            "fax_number": "949-449-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PACIFIC COAST HWY",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542225",
            "telephone_number": "949-441-0041",
            "fax_number": "949-449-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUNJIB",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-13",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95022903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken Kang Marriage and Family Therapy Inc.
• Briana Helen Kennedy, MS, LMFT
• Ewelina Kervin, PT, DPT, OCS
• Seema Khan
• Clara Kim
• Kathy Kim
• Kiowa Enterprises, LLC
• William Kirby, D.O.
• Shawn Leeanne Klein, MA
• Mary Elizabeth Klem, MFT

• Psychiatric/Mental Health Nurse Practitioner in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.