IRENE JEAN KIM PA-C
NPI 1447891536
Physician Assistant - Medical in Los Angeles, CA

Q: What is Irene Kim's NPI number?

The NPI number for Irene Kim is 1447891536. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Q: What is Irene Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Irene Kim was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 01, 2019PECOS Enrolled

2219 E 1ST ST, LOS ANGELES, CA 90033(323) 269-0421(323) 647-6156 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2026, Oct 1, 2019 (2 updates tracked since 2019).

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About Irene Jean Kim Pa-c NPPES

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

IRENE JEAN KIM PA-C (NPI 1447891536) is an individual medical provider in Los Angeles, California, licensed in California (57268) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447891536

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameIRENE JEAN KIMCredential: PA-C

Location Address2219 E 1ST STLos Angeles, CA 90033-3901

Mailing Address2219 E 1st StLos Angeles, CA 90033-3901 · (323) 269-0421 · Fax (323) 647-6156

Phone(323) 269-0421

Fax(323) 647-6156

Sole ProprietorNo

Enumeration DateOctober 1, 2019

Last NPPES UpdateJune 2, 20262 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1447891536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · 57268

2219 E 1ST ST, Los Angeles, CA 90033

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irene Jean Kim Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

ALTAMED HEALTH SERVICES CORP

Clinic/Center (Federally Qualified Health Center (FQHC))