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Deactivated NPI 1417718206 Deactivated / Inactive NPI Female Practitioner

Eun Young Kim , AGACNP-BC

Nurse Practitioner - Acute Care • Glendale, CA

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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, Eun Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 18, 2024
NPI Deactivation Date December 18, 2025
Total Practice Duration ~1 Years of Practice (2024 – 2025)

Professional Overview & Biography Verified Profile Summary

Eun Kim, AGACNP-BC was a registered Nurse Practitioner - Acute Care practicing in Glendale, CA. Throughout an active medical career spanning 1 years, Eun Kim provided care at the practice location at 1812 VERDUGO BLVD until profile deactivation on 2025-12-18.

Practice Location & Contact Primary Location

Practice Address

1812 Verdugo Blvd
Patient And Family Services

Glendale, CA 91208

Telephone 8189522285
Fax 8189523526
Associated Practice Facility / Clinic
🏢 Chandnish K Ahluwalia M D Inc Facility NPI 1013901974

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Acute Care in Glendale, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.2 Yrs
State Avg: 8.6 Yrs
Regional Practice Density
22 Specialists

Practicing in Glendale, CA (1828 Statewide)

Telehealth Adoption Rate
9.1% 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

Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

State License CA 95028568

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Gil Shlamovitz , MD

Emergency Medicine

NPI 1053418343

Doctor of Medicine (M.D.)

Erin Mcanoy , NP

Nurse Practitioner - Family

NPI 1073761037

Nurse Practitioner

Dr. Jorge Flores , MD

Emergency Medicine

NPI 1073868006

Doctor of Medicine (M.D.)

Dr. Tyler Ronnfeldt , MD

Emergency Medicine

NPI 1083134878

Doctor of Medicine (M.D.)

Inessa Artsrunyan , NP

Nurse Practitioner - Acute Care

NPI 1093117079

Nurse Practitioner

Scott Byington

Nurse Practitioner - Acute Care

NPI 1104487123

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 18, 2025

Record deactivated on December 18, 2025

NPI Profile Active January 18, 2024

NPI status registered as active in NPPES database

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Updated Practice Location January 18, 2024

Registered at 1812 VERDUGO BLVD, PATIENT AND FAMILY SERVICES, GLENDALE, CA 91208 (Tel: 8189522285)

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Updated Business Mailing Address January 18, 2024

Registered at 1812 VERDUGO BLVD, PATIENT AND FAMILY SERVICES, GLENDALE, CA 91208 (Tel: 8189522285)

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Provider Name / Credentials Updated January 18, 2024

Recorded as EUN KIM, AGACNP-BC

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2024

Nurse Practitioner (License #95028568 in CA)

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Initial NPI Registration & Enumeration January 18, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417718206
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2024
Last Update: January 18, 2024
Deactivation Date: December 18, 2025

Mailing Address

1812 Verdugo Blvd, Patient And Family Services

Glendale, CA 91208

Phone: 8189522285

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.