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LISA AHN KIM M.S., CCC-SLP
NPI 1699437756
Speech-Language Pathologist in Los Angeles, CA

Active since October 06, 2021Accepts Medicare Assignment
3060 W OLYMPIC BLVD APT 649, LOS ANGELES, CA 90006(818) 648-7127 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2023, Oct 6, 2021 (2 updates tracked since 2021).

About Lisa Ahn Kim M.s., Ccc-slp NPPES

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

LISA AHN KIM M.S., CCC-SLP (NPI 1699437756) is an individual speech-language pathologist provider in Los Angeles, California and active in the NPI registry since October 2021. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1699437756
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLISA AHN KIMCredential: M.S., CCC-SLP
Location Address3060 W OLYMPIC BLVD APT 649Los Angeles, CA 90006-3844
Mailing Address27076 Cypress StHighland, CA 92346-3662 · (951) 223-5354
Phone(818) 648-7127
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 6, 2021
Last NPPES UpdateMay 23, 20232 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
✔ NPI 1699437756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3060 W OLYMPIC BLVD APT 649, Los Angeles, CA 90006
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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 and accepts Medicare assignment

Lisa Ahn Kim M.s., Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012304314
PECOS Enrollment IDI20220504002003

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 Lisa Kim's NPI number?

The NPI number for Lisa Kim is 1699437756. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Lisa Kim located?

Lisa Kim practices at 3060 W Olympic Blvd Apt 649, Los Angeles, CA 90006. The listed phone number is (818) 648-7127.

What is Lisa Kim's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Lisa Kim enrolled in Medicare?

Yes. Lisa Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Kim was last updated on May 23, 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.