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

Jennifer Eunyoung Kim, NP

Individual provider Registered Nurse · NPI 1699595926

Jennifer Eunyoung Kim, NP is a Nurse Practitioner in Los Angeles, California. Qualified in 2025, 1 year ago. Works from 4 locations. Licensed in California.

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

3125 N Broadway
Los Angeles, CA 90031-2703
Phone: (213) 482-6400
Fax: (213) 482-6408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 12021 Wilmington Ave Bldg 18, Los Angeles, CA 90059-3019 — (424) 454-5400
  • 11500 W Olympic Blvd Ste 441, Los Angeles, CA 90064-1525 — (424) 203-5056
  • 97 W Bellevue Dr Ste 5, Pasadena, CA 91105-2501 — (424) 248-3134

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95036856 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 758317 (CA)

Record details

NPI number1699595926
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 11, 2024
Last updated in NPPESMay 4, 2026
Certification dateMay 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 Not indicated
Practice locations2 on file with Medicare

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