Sandra Yu Kim, FNP, RN, PHN
Nurse Practitioner, Family in Los Alamitos, CA. Individual provider (NPI-1).
NPI number1306355698
StatusActive
Last updated in NPPESSep 8, 2021
Details
- NPI
- 1306355698
- Entity type
- Individual (NPI-1)
- Name
- Sandra Yu Kim
- Credential
- FNP, RN, PHN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2017
- Certification date
- Sep 8, 2021
- Last updated
- Sep 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95018326 | CA | Yes |
| 163WC0400X | Registered Nurse, Case Management | 95107459 | CA | |
| 163WM0705X | Registered Nurse, Medical-Surgical | 95107459 | CA |
Practice location
3801 Katella Ave Ste 330Los Alamitos, CA 90720-6900
Phone 562-594-9546
Mailing address
3801 Katella Ave Ste 330Los Alamitos, CA 90720-6900
Phone 562-594-9546
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