1. Home
  2. Directory
  3. California
  4. Tarzana
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EUNICE KIM
NPI 1639868433
Family Medicine in Tarzana, CA

Active since May 05, 2023PECOS Enrolled
5411 ETIWANDA AVE # 201, TARZANA, CA 91356(310) 423-2075 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 21, 2026, Sep 19, 2026, May 5, 2023 (3 updates tracked since 2023).

About Eunice Kim NPPES

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

EUNICE KIM (NPI 1639868433) is an individual family medicine provider in Tarzana, California, licensed in California (20A23595) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Moreno Valley.

NPPES Registry Identity

NPI1639868433
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameEUNICE KIM
Location Address5411 ETIWANDA AVE # 201Tarzana, CA 91356-6158
Mailing Address4140 W 190th StTorrance, CA 90504-5513 · (310) 423-2075
Phone(310) 423-2075
Sole ProprietorNo
Enumeration DateMay 5, 2023
Last NPPES UpdateSeptember 21, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1639868433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A23595
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5411 ETIWANDA AVE # 201, Tarzana, CA 91356
Open in Google Maps ↗

Secondary Practice Location 1

Location 123520 Cactus AveMoreno Valley, CA 92553-8906 · Phone (951) 867-3825 · Fax (951) 486-5010

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eunice 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91356 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Eunice Kim's NPI number?

The NPI number for Eunice Kim is 1639868433. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Where is Eunice Kim located?

Eunice Kim practices at 5411 Etiwanda Ave # 201, Tarzana, CA 91356. The listed phone number is (310) 423-2075.

What is Eunice Kim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eunice Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Eunice Kim was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.