JUNGWOO KIM
NPI 1184439465
Nurse Practitioner - Family in Los Angeles, CA

Active since February 12, 2025
505 S VIRGIL AVE STE 301, LOS ANGELES, CA 90020(213) 674-8282 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jungwoo Kim NPPES

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

JUNGWOO KIM (NPI 1184439465) is an individual family provider in Los Angeles, California, licensed in California (95033999) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1184439465
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJUNGWOO KIM
Location Address505 S VIRGIL AVE STE 301Los Angeles, CA 90020-1443
Mailing Address244 S Berendo St Apt 3Los Angeles, CA 90004-5774
Sole ProprietorYes
Enumeration DateFebruary 12, 2025
NPPES CertifiedJanuary 23, 2025
NPI 1184439465 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 · 95033999
505 S VIRGIL AVE STE 301, Los Angeles, CA 90020

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Primary Care)
505 S VIRGIL AVE STE 301
LOS ANGELES, CA 90020
Nurse Practitioner (Family)
505 S VIRGIL AVE STE 301
LOS ANGELES, CA 90020

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 Jungwoo Kim's NPI number?

The NPI number for Jungwoo Kim is 1184439465. It was assigned to this individual provider in the NPPES registry on February 12, 2025.

Where is Jungwoo Kim located?

Jungwoo Kim practices at 505 S Virgil Ave Ste 301, Los Angeles, CA 90020. The listed phone number is (213) 674-8282.

What is Jungwoo 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 Jungwoo Kim was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.