KISUP RHIM FNP
NPI 1336970052
Nurse Practitioner - Family in Buena Park, CA

Active since August 13, 2024
5731 BEACH BLVD, ROOM 202, BUENA PARK, CA 90621(213) 503-7769 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kisup Rhim Fnp NPPES

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

KISUP RHIM FNP (NPI 1336970052) is an individual family provider in Buena Park, California, licensed in California (95027432) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1336970052
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKISUP RHIMCredential: FNP
Location Address5731 BEACH BLVD, ROOM 202Buena Park, CA 90621
Mailing Address165 Reed LandLa Habra, CA 90631 · (213) 503-7769
Sole ProprietorYes
Enumeration DateAugust 13, 2024
NPI 1336970052 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 · 95027432
5731 BEACH BLVD, Buena Park, CA 90621

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 Kisup Rhim's NPI number?

The NPI number for Kisup Rhim is 1336970052. It was assigned to this individual provider in the NPPES registry on August 13, 2024.

Where is Kisup Rhim located?

Kisup Rhim practices at 5731 Beach Blvd Room 202, Buena Park, CA 90621. The listed phone number is (213) 503-7769.

What is Kisup Rhim'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 Kisup Rhim was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.