Yena Kim, is a medicare enrolled "Speech-language Pathologist" provider in La Mirada, California. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. Her current practice location is
15242 Matisse Cir, La Mirada, California. You can reach out to her office (for appointments etc.) via phone at
(714) 403-7988.
Yena Kim is licensed to practice in Florida (license number SA22038) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1124582887.
Healthcare Provider's Profile
| Full Name | Yena Kim |
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| Gender | Female |
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| Speciality | Qualified Speech Language Pathologist |
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| Experience | 4 Years |
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| Location | 15242 Matisse Cir, La Mirada, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Yena Kim graduated from medical school in 2022
NPI Data:
- NPI Number: 1124582887
- Provider Enumeration Date: 01/28/2019
- Last Update Date: 01/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385147404
- Enrollment ID: I20250912003074
Medical Identifiers
Medical identifiers for Yena Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124582887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | SA22038 (Florida) | 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. Yena Kim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Yena Kim, 18946 N Dale Mabry Hwy, Lutz, FL 33548-4900 Ph: () - | Yena Kim, 15242 Matisse Cir, La Mirada, CA 90638-4731 Ph: (714) 403-7988 |
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