JEUNGHOAN KIM FNP-C
NPI 1457201915
Nurse Practitioner - Family in Diamond Bar, CA

Q: What is Jeunghoan Kim's NPI number?

The NPI number for Jeunghoan Kim is 1457201915. It was assigned to this individual provider in the NPPES registry on February 2, 2026.

Q: What is Jeunghoan Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jeunghoan Kim was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 February 02, 2026

23916 HIGHLAND VALLEY RD, DIAMOND BAR, CA 91765(909) 979-0147 Get Directions Write a Review

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

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About Jeunghoan Kim Fnp-c NPPES

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

JEUNGHOAN KIM FNP-C (NPI 1457201915) is an individual family provider in Diamond Bar, California, licensed in California (95037578) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1457201915

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJEUNGHOAN KIMCredential: FNP-C

Location Address23916 HIGHLAND VALLEY RDDiamond Bar, CA 91765-1122

Mailing Address23916 Highland Valley RdDiamond Bar, CA 91765-1122 · (909) 979-0147

Phone(909) 979-0147

Sole ProprietorNo

Enumeration DateFebruary 2, 2026

NPPES CertifiedFebruary 2, 2026

✔ NPI 1457201915 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 · 95037578

23916 HIGHLAND VALLEY RD, Diamond Bar, CA 91765

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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 Jeunghoan Kim's NPI number?

The NPI number for Jeunghoan Kim is 1457201915. It was assigned to this individual provider in the NPPES registry on February 2, 2026.

Where is Jeunghoan Kim located?

Jeunghoan Kim practices at 23916 Highland Valley Rd, Diamond Bar, CA 91765. The listed phone number is (909) 979-0147.

What is Jeunghoan 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 Jeunghoan Kim was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.