Hyeon Jin Kim

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95030287 Issued in CA

Practice address

1010 E Imperial Hwy Ste B4
Brea, CA 92821-5634

Phone

(714) 853-2762

NPI assigned

Jun 3, 2024

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

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

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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1790526101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13129 BLODGETT AVE",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902425201",
            "telephone_number": "678-956-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E IMPERIAL HWY STE B4",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215634",
            "telephone_number": "714-853-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYEON JIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chae Eun Kim, L.AC.
• Daeuk David Kim, DDS
• Eun Kim
• Eunice Hope Kim, LCSW
• Helen G Kim
• Janna Kim, PHARM D
• Jessica Jung-Eun Kim, MD
• Jisun Kim, OTR/L
• Jonathan Kim, PMHNP-BC
• Jone Kim, DDS

• Family Nurse Practitioner in Brea, CA
• Providers in Brea, 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 Sep 29, 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.

Verify at the official NPI Registry.