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Jeanie Lee Kim, WHNP

Nurse Practitioner, Women's Health in Fountain Valley, CA. Individual provider (NPI-1).

NPI number1336022300
StatusActive
Last updated in NPPESJul 28, 2025

Details

NPI
1336022300
Entity type
Individual (NPI-1)
Name
Jeanie Lee Kim
Credential
WHNP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 28, 2025
Certification date
Jul 28, 2025
Last updated
Jul 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LW0102X Nurse Practitioner, Women's Health95034929CAYes
163WP1700X Registered Nurse, PerinatalRN2349468MA
163WP1700X Registered Nurse, Perinatal95415963CA
363LW0102X Nurse Practitioner, Women's HealthRN2349468MA

Practice location

11160 Warner Ave Ste 411
Fountain Valley, CA 92708-4056

Phone 714-513-1399

Mailing address

11160 Warner Ave Ste 411
Fountain Valley, CA 92708-4056

Phone 714-513-1399

Other practice locations

1127 Wilshire Blvd Ste 1400
Los Angeles, CA 90017-4005

Phone 626-662-7027

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Women's Health Nurse Practitioner providers in Fountain Valley, CA

All 5 Women's Health Nurse Practitioner providers in Fountain Valley · All 3,097 providers in Fountain Valley

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