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

Stacy Kim

Individual provider Family Nurse Practitioner · NPI 1669215802

Stacy Kim is a Family Nurse Practitioner in Pomona, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1798 N Garey Ave
Pomona, CA 91767-2918
Phone: (626) 483-7866
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 F05230927 (CA)

Record details

NPI number1669215802
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 16, 2024

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