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

Mideum Timothy Kim, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1386333151

Mideum Timothy Kim, NURSEPRACTITIONER is a Family Nurse Practitioner in Long Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

2776 Pacific Ave
Long Beach, CA 90806-2613
Phone: (562) 997-2049
Fax: (562) 595-6985
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95024886 (CA)

Record details

NPI number1386333151
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedMay 5, 2023
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023

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