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

Kyong Tai Kim, PEEREMPLSPECIALIST

Individual provider Community Health Worker · NPI 1770824021

Kyong Tai Kim, PEEREMPLSPECIALIST is a Community Health Worker in Los Angeles, California. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

1310 Wilshire Blvd
Los Angeles, CA 90017-1705
Phone: (213) 483-3000
Fax: (213) 383-3146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1770824021
Entity typeIndividual (Type 1)
GenderMale
Credentials PEEREMPLSPECIALIST
Sole proprietorNo
NPI enumeratedMarch 12, 2013
Last updated in NPPESMarch 12, 2013

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