Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

ELLIS KIM
NPI 1134047640
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since July 10, 2026
1731 E 120TH ST, LOS ANGELES, CA 90059(323) 568-3347 Get Directions Write a Review

NPPES record added: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellis Kim NPPES

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

ELLIS KIM (NPI 1134047640) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1134047640
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELLIS KIM
Location Address1731 E 120TH STLos Angeles, CA 90059-3051
Mailing Address1731 E 120th StLos Angeles, CA 90059-3051
Sole ProprietorYes
Enumeration DateJuly 10, 2026
NPPES CertifiedJuly 6, 2026
NPI 1134047640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1731 E 120TH ST, Los Angeles, CA 90059

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.

Psychiatry & Neurology (Psychiatry)
1731 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059

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 Ellis Kim's NPI number?

The NPI number for Ellis Kim is 1134047640. It was assigned to this individual provider in the NPPES registry on July 10, 2026.

Where is Ellis Kim located?

Ellis Kim practices at 1731 E 120th St, Los Angeles, CA 90059. The listed phone number is (323) 568-3347.

What is Ellis Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ellis Kim was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.