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

Yena Kim

Individual provider Speech-Language Pathologist · NPI 1124582887

Yena Kim is a Qualified Speech Language Pathologist in LA Mirada, California. Qualified in 2022, 4 years ago. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2019

Practice location Address checks out

15242 Matisse Cir
LA Mirada, CA 90638-4731
Phone: (714) 403-7988
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA22038 (FL)

Record details

NPI number1124582887
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 28, 2019
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address18946 N Dale Mabry Hwy, Lutz, FL 33548-4900

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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