CHUNG WON KIM - NPI 1386070894 - Nurse Practitioner in Fountain Valley, CA

Q: What is Chung Kim's NPI number?

The NPI number for Chung Kim is 1386070894. It was assigned to this individual provider in the NPPES registry on September 17, 2013.

Q: What is Chung Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Chung Kim was last updated on July 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

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About Chung Won Kim NPPES

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

CHUNG WON KIM (NPI 1386070894) is an individual nurse practitioner in Fountain Valley, California, licensed in California (21840) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1386070894

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCHUNG WON KIM

Location Address11190 WARNER AVE STE 300Fountain Valley, CA 92708-4045

Mailing Address11190 Warner Ave Ste 300Fountain Valley, CA 92708-4045

Phone(714) 893-6008

Sole ProprietorNo

Enumeration DateSeptember 17, 2013

Last NPPES UpdateJuly 17, 2014

✔ NPI 1386070894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 21840

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 21840 (CA)

11190 WARNER AVE STE 300, Fountain Valley, CA 92708

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Other Providers at the Same Location NPPES 12

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

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