IndividualActive
Heedong Kim
NPI 1104515436 · Registered Nurse · Los Angeles, CA
Heedong Kim is a Registered Nurse provider in Los Angeles, CA (NPI 1104515436).
Provider details
- NPI number
- 1104515436
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 95253512 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
400 S Western Ave Ste 204
Los Angeles, CA 90020-4115
Phone: (213) 770-2070
Street-level locationGet directions
Mailing address
905 Fedora St Apt 2
Los Angeles, CA 90006-1472
Registry dates
- Enumerated
- 2023-05-03
- Last updated
- 2023-05-03
- Certified
- 2023-05-03
Frequently asked questions
- What is Heedong Kim's NPI number?
- Heedong Kim's National Provider Identifier (NPI) is 1104515436, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heedong Kim's specialty?
- Heedong Kim is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Heedong Kim located?
- Heedong Kim's practice location on file with NPPES is 400 S Western Ave Ste 204, Los Angeles, CA 90020-4115.
- What is Heedong Kim's phone number?
- The practice phone number listed in the NPPES registry for Heedong Kim is (213) 770-2070.
- Is Heedong Kim's NPI active?
- Yes — Heedong Kim's NPI (1104515436) is active in the NPPES registry as of the last update on 2023-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.