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

Shin Il Kim, NP

Individual provider Family Nurse Practitioner · NPI 1578184966

Shin Il Kim, NP is a Nurse Practitioner in Los Angeles, California. Qualified in 2019, 7 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2020
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

450 Bauchet St Fl 8
Los Angeles, CA 90012-2907
Phone: (213) 972-2213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95014461 (CA)

Record details

NPI number1578184966
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 27, 2020
Last updated in NPPESApril 27, 2020
Certification dateApril 27, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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