Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JUNG YUN KIM PHD
NPI 1063410397
Psychologist - Health Service in Los Angeles, CA

Active since July 11, 2005
3540 WILSHIRE BLVD, LOS ANGELES, CA 90010(323) 394-5164 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Jung Yun Kim Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUNG YUN KIM PHD (NPI 1063410397) is an individual health service provider in Los Angeles, California and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1063410397
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameDR. JUNG YUN KIMCredential: PHD
Location Address3540 WILSHIRE BLVDLos Angeles, CA 90010-2307
Mailing Address6550 W Olympic BlvdLos Angeles, CA 90048-5354 · (323) 394-5164
Sole ProprietorNo
Enumeration DateJuly 11, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPI 1063410397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 17994 (CA)
3540 WILSHIRE BLVD, Los Angeles, CA 90010

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
3540 WILSHIRE BLVD, SUITE 1038
LOS ANGELES, CA 90010
Psychologist (Clinical)
3540 WILSHIRE BLVD, SUITE # PH 16
LOS ANGELES, CA 90010
Clinical Medical Laboratory
3540 WILSHIRE BLVD, SUITE 1014
LOS ANGELES, CA 90010
Counselor
3540 WILSHIRE BLVD, SUITE 818
LOS ANGELES, CA 90010
Social Worker (Clinical)
3540 WILSHIRE BLVD, SUITE 1207
LOS ANGELES, CA 90010
Counselor (Addiction (Substance Use Disorder))
3540 WILSHIRE BLVD, STE 818
LOS ANGELES, CA 90010
Psychologist (Clinical)
3540 WILSHIRE BLVD, 1024
LOS ANGELES, CA 90010
Counselor (Addiction (Substance Use Disorder))
3540 WILSHIRE BLVD, STE 300
LOS ANGELES, CA 90010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063410397, enumerated as an "individual" on July 11, 2005.

The provider is located at 3540 WILSHIRE BLVD LOS ANGELES, CA 90010 and the phone number is (323) 394-5164.

Psychologist with taxonomy code 103TH0100X and a focus in Health Service.