Individual provider Active NPI

Eun Young Kim, NP

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1689058836
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95001940 Issued in CA
Practice address
500 S Virgil Ave Ste 200
Los Angeles, CA 90020-1448
Phone
(213) 387-8000
Fax
(213) 387-7387
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95001940 CA Primary

Addresses

Primary practice location

500 S Virgil Ave Ste 200
Los Angeles, CA 90020-1448

Mailing address

500 S Virgil Ave Ste 200
Los Angeles, CA 90020-1448
Phone (213) 387-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wilshire Cardiology Group, a Professional Corporation CurrentSince Jan 1, 2016 Accepting new patients

Locations

500 S Virgil Ave
Ste 200
Los Angeles, CA 90020
Phone (213) 387-8000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1689058836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S VIRGIL AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201448",
            "telephone_number": "213-387-8000",
            "fax_number": "213-387-7387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S VIRGIL AVE STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201448",
            "telephone_number": "213-387-8000",
            "fax_number": "213-387-7387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EUN YOUNG",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95001940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.