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ODELIA KIM PA-C
NPI 1124793914
Physician Assistant in Los Angeles, CA

Active since August 12, 2021
590 N VERMONT AVE, LOS ANGELES, CA 90004(323) 284-7998 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2026, Aug 12, 2021 (2 updates tracked since 2021).

About Odelia Kim Pa-c NPPES

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

ODELIA KIM PA-C (NPI 1124793914) is an individual physician assistant in Los Angeles, California, licensed in California (1243520) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1124793914
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameODELIA KIMCredential: PA-C
Location Address590 N VERMONT AVELos Angeles, CA 90004-2115
Mailing Address590 N Vermont AveLos Angeles, CA 90004-2115 · (323) 284-7998
Phone(323) 284-7998
Sole ProprietorNo
Enumeration DateAugust 12, 2021
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1124793914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 1243520
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
590 N VERMONT AVE, Los Angeles, CA 90004
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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.

EDWIN NG
Physician Assistant
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 284-7998
SHADVIN MAHDINIA PA-S
Student in an Organized Health Care Education/Training Program
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 284-7998
CHRISTINA GLOADY
Student in an Organized Health Care Education/Training Program
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 284-7998
KRISTIN GRACE WONG PA-C
Physician Assistant
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (310) 863-8236
DR. MITCHELL DAVID CARTER D.C.
Chiropractor
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 906-2048
SRUTI NAGAM PA-C
Physician Assistant
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 284-7998
TARA NICOLE SETO
Physician Assistant
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 284-7998
ALAN MEZA NP
Nurse Practitioner
590 N VERMONT AVE
LOS ANGELES, CA 90004
Los Angeles County (323) 284-7998

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 Odelia Kim's NPI number?

The NPI number for Odelia Kim is 1124793914. It was assigned to this individual provider in the NPPES registry on August 12, 2021.

Where is Odelia Kim located?

Odelia Kim practices at 590 N Vermont Ave, Los Angeles, CA 90004. The listed phone number is (323) 284-7998.

What is Odelia Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Odelia Kim was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.