KELLY YOUNGAE LIM NP-C
NPI 1265051320
Nurse Practitioner - Family in Los Angeles, CA

Active since April 09, 2020
3663 W 6TH ST STE 103, LOS ANGELES, CA 90020(213) 306-2221 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Youngae Lim Np-c NPPES

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

KELLY YOUNGAE LIM NP-C (NPI 1265051320) is an individual family provider in Los Angeles, California, licensed in California (95014062) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1265051320
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY YOUNGAE LIMCredential: NP-C
Location Address3663 W 6TH ST STE 103Los Angeles, CA 90020-3047
Mailing Address2614 Cypress Point DrFullerton, CA 92833-2062 · (714) 310-8525
Sole ProprietorYes
Enumeration DateApril 9, 2020
NPPES CertifiedApril 9, 2020
NPI 1265051320 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 · 95014062
3663 W 6TH ST STE 103, Los Angeles, CA 90020

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
3663 W 6TH ST STE 103
LOS ANGELES, CA 90020
Internal Medicine
3663 W 6TH ST STE 103
LOS ANGELES, CA 90020
Surgery
3663 W 6TH ST STE 103
LOS ANGELES, CA 90020
Physician Assistant
3663 W 6TH ST STE 103
LOS ANGELES, CA 90020
Family Medicine (Adult Medicine)
3663 W 6TH ST STE 103
LOS ANGELES, CA 90020
Nurse Practitioner (Family)
3663 W 6TH ST STE 103
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 Kelly Lim's NPI number?

The NPI number for Kelly Lim is 1265051320. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Kelly Lim located?

Kelly Lim practices at 3663 W 6th St Ste 103, Los Angeles, CA 90020. The listed phone number is (213) 306-2221.

What is Kelly Lim'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 Kelly Lim was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.