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

Kyoung Jin Kim, AGNP-BC

Individual provider Critical Care Medicine Registered Nurse · NPI 1609392919

Kyoung Jin Kim, AGNP-BC is a Critical Care Medicine Registered Nurse in Gardena, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
4

Practice location Address checks out

15435 S Western Ave Ste 201
Gardena, CA 90249-4324
Phone: (213) 215-7323
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence NP95006053 (CA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 714565 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence NP95006053 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence NP95006053 (CA)

Record details

NPI number1609392919
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-BC
Sole proprietorNo
NPI enumeratedAugust 17, 2017
Last updated in NPPESAugust 17, 2017