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ANGELA KIM
NPI 1699436394
Physician Assistant - Medical in Los Angeles, CA

Active since January 05, 2022PECOS Enrolled
3727 W 6TH ST STE 210, LOS ANGELES, CA 90020(213) 235-2500 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2023, Jan 13, 2022, Jan 5, 2022 (3 updates tracked since 2022).

About Angela Kim NPPES

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

ANGELA KIM (NPI 1699436394) is an individual medical provider in Los Angeles, California, licensed in California (62972) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699436394
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANGELA KIM
Location Address3727 W 6TH ST STE 210Los Angeles, CA 90020-5108
Mailing Address3727 W 6th St Ste 210Los Angeles, CA 90020-5108 · (213) 235-2500
Phone(213) 235-2500
Sole ProprietorNo
Enumeration DateJanuary 5, 2022
Last NPPES UpdateJuly 11, 20233 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1699436394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · 62972
3727 W 6TH ST STE 210, Los Angeles, CA 90020
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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)

Angela 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 4

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

MS. SUJEONG GO N.P.
Nurse Practitioner (Primary Care)
3727 W 6TH ST STE 210
LOS ANGELES, CA 90020
Los Angeles County (213) 427-4000
JEONG SU KIM OD
Optometrist
3727 W 6TH ST STE 210
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
SHIA WATKINS
Nurse Practitioner (Family)
3727 W 6TH ST STE 210, SUITE 210
LOS ANGELES, CA 90020
Los Angeles County (213) 427-4000
SOOJUNG CHOI FNP
Nurse Practitioner (Family)
3727 W 6TH ST STE 210
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500

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 Angela Kim's NPI number?

The NPI number for Angela Kim is 1699436394. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Angela Kim located?

Angela Kim practices at 3727 W 6th St Ste 210, Los Angeles, CA 90020. The listed phone number is (213) 235-2500.

What is Angela Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Angela Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Angela Kim was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.