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

Jenna Seo Jiyeun Kim, NP

Individual provider Physician Assistant · NPI 1598082760

Jenna Seo Jiyeun Kim, NP is a Physician Assistant in Huntington Beach, California. Qualified in 2009, 17 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2010
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

8201 Newman Ave Ste 101
Huntington Beach, CA 92647-7043
Phone: (714) 847-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1835 Sunny Crest Dr, Fullerton, CA 92835-3616 — (714) 446-5101

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 20832 (CA)

Record details

NPI number1598082760
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 28, 2010
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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