Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alice Kisun Kim, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1770362998

Alice Kisun Kim, PMHNP is a Nurse Practitioner in Fullerton, California. Qualified in 2023, 3 years ago. Practices with Karen Rightler Pmhnp-Bc a Professional Nursing Corporation, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

2558 Tiffany Pl
Fullerton, CA 92833-1527
Phone: (213) 200-3500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95027340 (CA)

Record details

NPI number1770362998
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Karen Rightler Pmhnp-Bc A Professional Nursing Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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