GRACE KIM
NPI 1669507851
Psychologist - Clinical in Los Angeles, CA
About Grace Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE KIM (NPI 1669507851) is an individual clinical provider in Los Angeles, California, licensed in California (26795) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pasadena, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grace Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90010
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 Grace Kim's NPI number?
The NPI number for Grace Kim is 1669507851. It was assigned to this individual provider in the NPPES registry on February 21, 2007.
Where is Grace Kim located?
Grace Kim practices at 3600 Wilshire Blvd Ste 2200, Los Angeles, CA 90010. The listed phone number is (213) 382-4400.
What is Grace Kim's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Grace Kim enrolled in Medicare?
Yes. Grace Kim is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Grace Kim was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Grace Kim · NPI 1669507851
Clinical provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since February 21, 2007.
## Identity
- **NPI:** 1669507851 (Entity type: Individual)
- **Enumerated:** February 21, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 26795 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3600 WILSHIRE BLVD STE 2200, Los Angeles, CA 90010-2632
- **Phone:** (213) 382-4400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** February 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1669507851) · Data from the CMS NPPES public registry.