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

Stephanie Kim

Individual provider Critical Care Pediatric Nurse Practitioner · NPI 1407517709

Stephanie Kim is a Critical Care Pediatric Nurse Practitioner in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

1260 Veteran Ave Apt 108
Los Angeles, CA 90024-0059
Phone: (201) 450-3642
Show map & directions

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

Specialties & licences

Critical Care Pediatric Nurse Practitioner (primary) Taxonomy 363LP0222X · Licence 95018364 (CA)

Record details

NPI number1407517709
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 7, 2022
Last updated in NPPESJanuary 7, 2022
Certification dateJanuary 7, 2022

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