MIMI KIM
NPI 1629296181
Pediatrics - Developmental - Behavioral Pediatrics in Los Angeles, CA

Q: What is Mimi Kim's NPI number?

The NPI number for Mimi Kim is 1629296181. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Q: What is Mimi Kim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Q: When was this NPI record last updated?

The NPPES record for Mimi Kim was last updated on September 3, 2013. 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.

Active since April 23, 2007PECOS Enrolled

4650 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 361-4606(323) 361-1350 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mimi Kim NPPES

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

MIMI KIM (NPI 1629296181) is an individual developmental - behavioral pediatrics provider in Los Angeles, California, licensed in Rhode Island (MD11516) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629296181

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameMIMI KIM

Location Address4650 W SUNSET BLVDLos Angeles, CA 90027-6062

Mailing Address4650 W Sunset BlvdLos Angeles, CA 90027-6062 · (323) 361-4606 · Fax (323) 361-1350

Phone(323) 361-4606

Fax(323) 361-1350

Sole ProprietorYes

Enumeration DateApril 23, 2007

Last NPPES UpdateSeptember 3, 2013

✔ NPI 1629296181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

License✔ Licensed in RI · MD11516

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

4650 W SUNSET BLVD, Los Angeles, CA 90027

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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)

Mimi Kim 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 20

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

DR. MARK HENDRIK CORDEN M.D.

Pediatrics

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 361-8893

MS. ROBERTA MIYEKO KATO MD

Pediatrics (Pediatric Pulmonology)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 361-2101

CHILDREN'S HOSPITAL LOS ANGELES

General Acute Care Hospital (Children)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 361-3644

JESSICA ELIZABETH GREIM DPT, PT

Physical Therapist (Pediatrics)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (310) 361-2118

MOLLY CEVASCO PH.D., BCBA

Psychologist (Clinical Child & Adolescent)

4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027

Los Angeles County (323) 361-3849

GINNY KIM THAN NP

Nurse Practitioner (Pediatrics)

4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027

Los Angeles County (323) 361-3033

DOUGLAS SHAPIRO MD

Pediatrics (Pediatric Emergency Medicine)

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 660-2450

ALEXANDRA LYNN JOSTES MD

Student in an Organized Health Care Education/Training Program

4650 W SUNSET BLVD
LOS ANGELES, CA 90027

Los Angeles County (323) 361-2122

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 Mimi Kim's NPI number?

The NPI number for Mimi Kim is 1629296181. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Mimi Kim located?

Mimi Kim practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 361-4606.

What is Mimi Kim's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Mimi Kim enrolled in Medicare?

Yes. Mimi Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mimi Kim was last updated on September 3, 2013. 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.