MIRA KIM
NPI 1457236689
Nurse Practitioner - Women's Health in Long Beach, CA

Active since August 07, 2025
2888 LONG BEACH BLVD STE 340, LONG BEACH, CA 90806(562) 933-0590 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mira Kim NPPES

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

MIRA KIM (NPI 1457236689) is an individual women's health provider in Long Beach, California, licensed in California (95034754) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1457236689
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMIRA KIM
Location Address2888 LONG BEACH BLVD STE 340Long Beach, CA 90806-1552
Mailing Address16358 Cameo CtWhittier, CA 90604-4031 · (714) 353-6339
Sole ProprietorNo
Enumeration DateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
NPI 1457236689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in CA · 95034754
2888 LONG BEACH BLVD STE 340, Long Beach, CA 90806

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 Mira Kim's NPI number?

The NPI number for Mira Kim is 1457236689. It was assigned to this individual provider in the NPPES registry on August 7, 2025.

Where is Mira Kim located?

Mira Kim practices at 2888 Long Beach Blvd Ste 340, Long Beach, CA 90806. The listed phone number is (562) 933-0590.

What is Mira Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Mira Kim was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.