MEDICARE: STELET KIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1134088107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STELET KIM

Provider Business Mailing Address
First Line	:	375 REDONDO AVE # 492
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-2656
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 REDONDO AVE # 492
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-2656
Country	:	US
Telephone Number	:	415-400-9741
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

Similar Medicare Providers

1154546554 — DR. ANN EUN LEE PHD
Practice Location Address:

375 REDONDO AVE , SUITE 181
LONG BEACH, CA
90814-2656

Practice Phone: 562-673-9655
Practice Fax:

1194114934 — BROOKE CLAVESILLA LCSW
Practice Location Address:

375 REDONDO AVE # 1145
LONG BEACH, CA
90814-2656

Practice Phone: 562-270-2174
Practice Fax:

1225563554 — TIFFANY TRUJILLO
Practice Location Address:

355 REDONDO AVE
LONG BEACH, CA
90814-2656

Practice Phone: 888-223-8002
Practice Fax:

1538732458 — REBECCA RUGGLESS SLPA
Practice Location Address:

355 REDONDO AVE
LONG BEACH, CA
90814-2656

Practice Phone: 818-568-7925
Practice Fax:

1548072101 — PACIFIC HORIZONS OF CALIFORNIA
Practice Location Address:

359 REDONDO AVE
LONG BEACH, CA
90814-2656

Practice Phone: 424-485-6684
Practice Fax:

1912935347 — MRS. NGA WAN WONG M.D.
Practice Location Address:

6552 BOLSA AVE , SUITE N
HUNTINGTON BEACH, CA
92647-2656

Practice Phone: 714-898-9635
Practice Fax: 714-898-9637

Directions to “ STELET KIM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.