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

Hae Kyoung Um

Individual provider Registered Nurse · NPI 1053154211

Hae Kyoung Um is a Nurse Practitioner in Inglewood, California. Qualified in 2025, 1 year ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

501 E Hardy St Ste 425
Inglewood, CA 90301-4067
Phone: (747) 998-0387
Fax: (747) 201-4700
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 95038677 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95225136 (CA)

Record details

NPI number1053154211
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2024
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Inglewood