Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HYEON JIN KIM
NPI 1790526101
Nurse Practitioner - Family in Brea, CA

Active since June 03, 2024
1010 E IMPERIAL HWY STE B4, BREA, CA 92821(714) 853-2762 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 29, 2026, Jul 24, 2024, Jun 3, 2024 (3 updates tracked since 2024).

About Hyeon Jin Kim NPPES

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

HYEON JIN KIM (NPI 1790526101) is an individual family provider in Brea, California, licensed in California (95030287) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1790526101
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHYEON JIN KIM
Location Address1010 E IMPERIAL HWY STE B4Brea, CA 92821-5634
Mailing Address13129 Blodgett AveDowney, CA 90242-5201 · (678) 956-3383
Sole ProprietorYes
Enumeration DateJune 3, 2024
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1790526101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95030287
1010 E IMPERIAL HWY STE B4, Brea, CA 92821

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 Hyeon Jin Kim's NPI number?

The NPI number for Hyeon Jin Kim is 1790526101. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Hyeon Jin Kim located?

Hyeon Jin Kim practices at 1010 E Imperial Hwy Ste B4, Brea, CA 92821. The listed phone number is (714) 853-2762.

What is Hyeon Jin Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Hyeon Jin Kim was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.