JACEY KIM
NPI 1992438477
Nurse Practitioner - Family in Los Angeles, CA

Q: What is Jacey Kim's NPI number?

The NPI number for Jacey Kim is 1992438477. It was assigned to this individual provider in the NPPES registry on July 2, 2022.

Q: What is Jacey Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacey Kim was last updated on July 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 02, 2022

3030 W OLYMPIC BLVD STE 209, LOS ANGELES, CA 90006(213) 800-3088 Get Directions Write a Review

NPPES record last updated: July 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacey Kim NPPES

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

JACEY KIM (NPI 1992438477) is an individual family provider in Los Angeles, California, licensed in California (NP95020833) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1992438477

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACEY KIM

Location Address3030 W OLYMPIC BLVD STE 209Los Angeles, CA 90006-6501

Mailing Address859 N Heliotrope DrLos Angeles, CA 90029-2521 · (213) 435-5125

Phone(213) 800-3088

Sole ProprietorYes

Enumeration DateJuly 2, 2022

NPPES CertifiedJuly 2, 2022

✔ NPI 1992438477 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 · NP95020833

3030 W OLYMPIC BLVD STE 209, Los Angeles, CA 90006

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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 Jacey Kim's NPI number?

The NPI number for Jacey Kim is 1992438477. It was assigned to this individual provider in the NPPES registry on July 2, 2022.

Where is Jacey Kim located?

Jacey Kim practices at 3030 W Olympic Blvd Ste 209, Los Angeles, CA 90006. The listed phone number is (213) 800-3088.

What is Jacey 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 Jacey Kim was last updated on July 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.