Healthcare Provider Details

I. General information

NPI: 1427758911
Provider Name (Legal Business Name): HELEN HYE LIN KIM PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 E COLUMBIA ST STE 10
LONG BEACH CA
90806-1608
US

IV. Provider business mailing address

455 E COLUMBIA ST STE 10
LONG BEACH CA
90806-1608
US

V. Phone/Fax

Practice location:
  • Phone: 562-933-7702
  • Fax: 562-933-7705
Mailing address:
  • Phone: 562-933-7702
  • Fax: 562-933-7705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number87636
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: