MEDICARE: LEANNA DAYOUNG 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	183500000X	Pharmacist	RPH91097	CA

General Provider Information

NPI Number	:	1811864226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEANNA DAYOUNG KIM

Provider Business Mailing Address
First Line	:	1027 WILSHIRE BLVD APT 733
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-3121
Country	:	US
Telephone Number	:	213-514-2605
Fax Number	:

Provider Business Practice Location Address
First Line	:	2781 W OLYMPIC BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2632
Country	:	US
Telephone Number	:	213-816-0270
Fax Number	:

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

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	10/21/2025

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Directions to “ LEANNA DAYOUNG KIM ” Practice Location

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