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MOON JU KIM N.P.
NPI 1679787766
Nurse Practitioner - Women's Health in Los Angeles, CA

Active since May 09, 2007
1058 S VERMONT AVE, LOS ANGELES, CA 90006(213) 380-8833(213) 368-6047 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2019, May 3, 2019 (2 updates tracked since 2019).

About Moon Ju Kim N.p. NPPES

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

MOON JU KIM N.P. (NPI 1679787766) is an individual women's health provider in Los Angeles, California, licensed in California (NP8434) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1679787766
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMOON JU KIMCredential: N.P.
Location Address1058 S VERMONT AVELos Angeles, CA 90006-2721
Mailing Address1058 S Vermont AveLos Angeles, CA 90006-2721 · (213) 380-8833 · Fax (213) 368-6047
Phone(213) 380-8833
Fax(213) 368-6047
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateMay 8, 20192 updates tracked since enumeration
✔ NPI 1679787766 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 · NP8434
1058 S VERMONT AVE, Los Angeles, CA 90006
Open in Google Maps ↗

Other Identifiers 1

MedicaidNP0084340CA

Other Providers at the Same Location NPPES 5

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

MR. DONG JOON YI MD
Pediatrics
1058 S VERMONT AVE, 227
LOS ANGELES, CA 90006
Los Angeles County (213) 368-6025
KORYO HEALTH FOUNDATION
Clinic/Center (Primary Care)
1058 S VERMONT AVE
LOS ANGELES, CA 90006
Los Angeles County (213) 380-8833
SEEDAY HEARING AID INC
Hearing Instrument Specialist
1058 S VERMONT AVE, SUITE 101
LOS ANGELES, CA 90006
Los Angeles County (213) 368-3600
MR. JOHNNY PARK HAD
Hearing Instrument Specialist
1058 S VERMONT AVE, SUITE 109
LOS ANGELES, CA 90006
Los Angeles County (213) 368-6300
SOON M. CHA, M.D., INC.
Obstetrics & Gynecology
1058 S VERMONT AVE, SUITE 204
LOS ANGELES, CA 90006
Los Angeles County (213) 368-6020

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 Moon Kim's NPI number?

The NPI number for Moon Kim is 1679787766. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Moon Kim located?

Moon Kim practices at 1058 S Vermont Ave, Los Angeles, CA 90006. The listed phone number is (213) 380-8833.

What is Moon 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 Moon Kim was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.