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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kyoung Jin Kim, AGNP-BC

Primary Care Nurse Practitioner in Gardena, CA · enumerated 2017 · practices at Suk Medical Clinic Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609392919

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Registry record

Entity type Individual (Type 1)
Name Kyoung Jin Kim
Credential AGNP-BC
Sex Female
Practice address 15435 S Western Ave Ste 201, Gardena, CA, 90249
Phone (213) 215-7323
Enumeration date Aug 17, 2017
Last updated in NPPES Aug 17, 2017

Taxonomy & licenses

163WC0200X Critical Care Medicine Registered Nurse Nursing Service Providers · License 714565 (CA) Secondary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License NP95006053 (CA) Secondary
363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License NP95006053 (CA) Secondary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License NP95006053 (CA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1609392919 active?
Yes, as of the latest NPPES snapshot, NPI 1609392919 is active (record last updated 2017-08-17).
How do I verify Kyoung Jin Kim's NPI record?
Cross-check NPI 1609392919 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-08-17.