JEONG AH KIM NP
NPI 1104681220
Nurse Practitioner - Family in North Hollywood, CA

Q: What is Jeong Ah Kim's NPI number?

The NPI number for Jeong Ah Kim is 1104681220. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Q: What is Jeong Ah Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jeong Ah Kim was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 19, 2024

10999 RIVERSIDE DR STE 306, NORTH HOLLYWOOD, CA 91602(818) 824-3702 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jeong Ah Kim Np NPPES

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

JEONG AH KIM NP (NPI 1104681220) is an individual family provider in North Hollywood, California, licensed in California (757888) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1104681220

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJEONG AH KIMCredential: NP

Location Address10999 RIVERSIDE DR STE 306North Hollywood, CA 91602-2239

Mailing Address10999 Riverside Dr Ste 306North Hollywood, CA 91602-2239 · (818) 824-3702 · Fax (818) 824-3712

Phone(818) 824-3702

Sole ProprietorYes

Enumeration DateFebruary 19, 2024

Last NPPES UpdateApril 16, 2026

NPPES CertifiedApril 16, 2026

✔ NPI 1104681220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 757888

10999 RIVERSIDE DR STE 306, North Hollywood, CA 91602

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Other Providers at the Same Location NPPES

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

SUNG PARK

Internal Medicine (Hospice and Palliative Medicine)

10999 RIVERSIDE DR STE 306
NORTH HOLLYWOOD, CA 91602

Los Angeles County (818) 824-3702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeong Ah Kim's NPI number?

The NPI number for Jeong Ah Kim is 1104681220. It was assigned to this individual provider in the NPPES registry on February 19, 2024.

Where is Jeong Ah Kim located?

Jeong Ah Kim practices at 10999 Riverside Dr Ste 306, North Hollywood, CA 91602. The listed phone number is (818) 824-3702.

What is Jeong Ah Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jeong Ah Kim was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.