MRS. KWON SOON YOO KIM NURSE PRACTIONER
NPI 1720103427
Nurse Practitioner in San Gabriel, CA

Q: What is Kwon Soon Kim's NPI number?

The NPI number for Kwon Soon Kim is 1720103427. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Q: What is Kwon Soon Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kwon Soon Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 20, 2007

1840 S. SAN GABRIEL BLVD,, SAN GABRIEL, CA 91776(626) 571-4590(626) 307-7369 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Mrs. Kwon Soon Yoo Kim Nurse Practioner NPPES

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

MRS. KWON SOON YOO KIM NURSE PRACTIONER (NPI 1720103427) is an individual nurse practitioner in San Gabriel, California, licensed in California (NP13939) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1720103427

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KWON SOON YOO KIMCredential: NURSE PRACTIONER

Location Address1840 S. SAN GABRIEL BLVD,San Gabriel, CA 91776-3930

Mailing Address519 S. Topside Pl.Diamond Bar, CA 91765-1879 · (626) 571-4590 · Fax (626) 307-7369

Phone(626) 571-4590

Fax(626) 307-7369

Sole ProprietorNo

Enumeration DateMarch 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1720103427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP13939

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1840 S. SAN GABRIEL BLVD,, San Gabriel, CA 91776

Open in Google Maps ↗

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 Kwon Soon Kim's NPI number?

The NPI number for Kwon Soon Kim is 1720103427. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Kwon Soon Kim located?

Kwon Soon Kim practices at 1840 S. San Gabriel Blvd,, San Gabriel, CA 91776. The listed phone number is (626) 571-4590.

What is Kwon Soon Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kwon Soon Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.