IndividualActive
Kim Nielsen
NPI 1073375697 · Student in an Organized Health Care Education/Training Program · Beverly Hills, CA
Provider details
- NPI number
- 1073375697
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
- License
- 390200000X (CA)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 390200000X (CA)
Student, Health Care
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9626 Highland Gorge Dr
Beverly Hills, CA 90210-2317
Phone: (424) 253-4004
Street-level locationGet directions
Mailing address
1621 La Playa Ave Apt 24
San Diego, CA 92109-6473
Registry dates
- Enumerated
- 2024-01-29
- Last updated
- 2024-01-29
- Certified
- 2024-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.