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Active NPI 1235867961 Individual Practitioner Female Practitioner

Eun Jung Kim

Nurse Practitioner - Pediatrics • Walnut, CA

Professional Overview & Biography Verified Profile Summary

Eun Jung Kim is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Walnut, CA. Practice services are available at 1115 LOXLEY PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1115 Loxley Pl

Walnut, CA 917894808

Telephone 9097624414

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Walnut, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Walnut, CA (1598 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

CMS Verified: 2022-08-10
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License CA 95021811

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active August 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2022

Registered at 1115 LOXLEY PL, WALNUT, CA 917894808 (Tel: 9097624414)

📍
Updated Business Mailing Address August 10, 2022

Registered at 1115 LOXLEY PL, WALNUT, CA 917894808 (Tel: 9097624414)

👤
Provider Name / Credentials Updated August 10, 2022

Recorded as EUN JUNG KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2022

Nurse Practitioner (License #95021811 in CA)

🟢
Initial NPI Registration & Enumeration August 10, 2022

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: 1235867961
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2022
Last Update: August 10, 2022
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1115 Loxley Pl

Walnut, CA 917894808

Phone: 9097624414

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.