Alice Kisun Kim, PMHNP - Nurse Practitioner in Fullerton, CA

Alice Kisun Kim, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Fullerton, California. Alice Kisun Kim is licensed to practice in California (license number 95027340) and her current practice location is 2558 Tiffany Pl, Fullerton, California. She can be reached at her office (for appointments etc.) via phone at (213) 200-3500.

NPI number for Alice Kisun Kim is 1770362998 and her current mailing address is 2558 Tiffany Pl, Fullerton, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770362998.

Contact Information

Alice Kisun Kim, PMHNP
2558 Tiffany Pl,
Fullerton, CA 92833-1527
(213) 200-3500
Not Available

Map and Direction




Provider's Profile

Full NameAlice Kisun Kim
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2558 Tiffany Pl, Fullerton, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770362998
  • Provider Enumeration Date: 09/26/2023
  • Last Update Date: 09/26/2023

Medical Identifiers

Medical identifiers for Alice Kisun Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770362998NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95027340 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alice Kisun Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alice Kisun Kim, PMHNP
2558 Tiffany Pl,
Fullerton, CA 92833-1527

Ph: (213) 200-3500
Alice Kisun Kim, PMHNP
2558 Tiffany Pl,
Fullerton, CA 92833-1527

Ph: (213) 200-3500

Reviews and Comments


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