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

Elaine Kim

Individual provider Speech-Language Pathologist · NPI 1881045995

Elaine Kim is a Qualified Speech Language Pathologist in Diamond Bar, California. Qualified in 2015, 11 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

1115 Seneca Pl
Diamond Bar, CA 91765-4369
Phone: (909) 569-3682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SP 24297 (CA)

Record details

NPI number1881045995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 29, 2016
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021
Mailing address1115 Seneca Pl, Diamond Bar, CA 91765-4369

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Diamond Bar