NAMJU KIM SHIN AGNP-C NPI 1326377292

NPI Information

  • NPI: 1326377292
  • Provider Name: NAMJU KIM SHIN, AGNP-C
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5471 LA PALMA AVE STE 105
    LA PALMA, CA
    ZIP 90623
  • Phone: (714) 695-2388

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NPI Details

Namju Kim Shin, AGNP-C is an adult health nurse practitioner in La Palma, CA with 17 years of experience. Namju Kim Shin, AGNP-C NPI is 1326377292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5471 LA PALMA AVE STE 105
LA PALMA, CA
ZIP 90623-773
Phone: (714) 695-2388
Fax: (714) 695-2391

The NPI 1326377292 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/23/2009 and was last updated on 6/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health18570CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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