Healthcare Provider Details

I. General information

NPI: 1396314175
Provider Name (Legal Business Name): KIM ALEXIS FIRN MD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2021
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N ORANGE GROVE BLVD STE 1400
PASADENA CA
91103-3534
US

IV. Provider business mailing address

5767 W CENTURY BLVD STE 400
LOS ANGELES CA
90045-5631
US

V. Phone/Fax

Practice location:
  • Phone: 626-817-4747
  • Fax: 626-817-4748
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0109X
TaxonomyNeuro-ophthalmology Physician
License NumberA182444
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: