Jiyeon Kim, NURSEPRACTITIONER
Jiyeon Kim, NURSEPRACTITIONER is a Nurse Practitioner in Reseda, California. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 13
- Licensed in
- CA
- In the registry since
- 2018
Practice location Address checks out
18107 Sherman Way Ste 200Reseda, CA 91335-8802
Phone: (818) 783-1002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 95006590 (CA) |
|---|
Record details
| NPI number | 1043780216 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | November 30, 2018 |
| Last updated in NPPES | March 31, 2022 |
| Certification date | March 31, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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