David Kim, AGACNP-BC
David Kim, AGACNP-BC is a Nurse Practitioner in Lake Balboa, California. Qualified in 2022, 4 years ago. Practices with Eastern Ventura Medical Group, Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 4
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
16723 Vanowen StLake Balboa, CA 91406-4638
Phone: (818) 279-1745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 95021554 (CA) |
|---|
Record details
| NPI number | 1447967682 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AGACNP-BC |
| Sole proprietor | No |
| NPI enumerated | October 27, 2022 |
| Last updated in NPPES | December 30, 2024 |
| Certification date | July 25, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Eastern Ventura Medical Group, Inc. — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |