Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1013318872 Deactivated / Inactive NPI Female Practitioner

Kyung Im

Pharmacist • Gardena, CA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kyung Im has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 11, 2014
NPI Deactivation Date August 02, 2023
Total Practice Duration ~9 Years of Practice (2014 – 2023)

Professional Overview & Biography Verified Profile Summary

Kyung Im was a registered Pharmacist practicing in Gardena, CA. Throughout an active medical career spanning 9 years, Kyung Im provided care at the practice location at 15435 S WESTERN AVE until profile deactivation on 2023-08-02.

Practice Location & Contact Primary Location

Practice Address

15435 S Western Ave
Ste 100-C

Gardena, CA 902494323

Telephone 3103532699
Fax 3103532696
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Gardena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
74 Specialists

Practicing in Gardena, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA RPH36933

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Diana Choi

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1649671363

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated August 02, 2023

Record deactivated on August 02, 2023

NPI Profile Active September 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2014

Registered at 15435 S WESTERN AVE, STE 100-C, GARDENA, CA 902494323 (Tel: 3103532699)

📍
Updated Business Mailing Address September 11, 2014

Registered at 15435 S WESTERN AVE, STE 100-C, GARDENA, CA 902494323 (Tel: 3103532699)

👤
Provider Name / Credentials Updated September 11, 2014

Recorded as KYUNG IM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2014

Pharmacist (License #RPH36933 in CA)

🟢
Initial NPI Registration & Enumeration September 11, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kyung Im. Be the first to share your experience!

Sign in to leave a review for Kyung Im

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1013318872
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2014
Last Update: September 11, 2014
Deactivation Date: August 02, 2023

Mailing Address

15435 S Western Ave, Ste 100-C

Gardena, CA 902494323

Phone: 3103532699

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.