| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SEJUNG KIM | 1780142380 | 2024-10-13 |
Sejung Kim is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780142380. Registration indicates Sejung Kim is a provider of access to pediatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Pediatrics, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Pediatrics, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Pediatrics, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Pediatrics, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Sejung Kim |
| Other Provider Name | Amy Kim |
| Practice Office Address | 4650 W SUNSET BLVD LOS ANGELES, CA US |
| Practice Office Telephone | 3233612145 |
| Mailing Address | 4650 W SUNSET BLVD LOS ANGELES, CA 900276062 US |
| Code | Practice | License No State |
|---|---|---|
| 363LP0200X PRIMARY | Access to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Pediatrics All Other Specialties & Provider Types Nurse Practitioner Pediatrics Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 95014460
CA |
| 363LP0200X | Access to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Pediatrics All Other Specialties & Provider Types Nurse Practitioner Pediatrics Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | R220078
MD |