JOYCE SOHN KIM – Speech-Language Pathologist, NPI 1235637489

JOYCE SOHN KIM is a healthcare provider. based in Los angeles, California. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold a License No. 11625 (CA). The NPI Number for JOYCE SOHN KIM is 1235637489

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JOYCE SOHN KIM
NPI
1235637489
Phone
Not provided
Address
1111 W 6TH ST STE 11
Enumeration Date
23 January 2018
Last Update Date
4 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
80885698211
Graduation Year
2017 (9 years ago)
PAC ID
7719367663
Group Practice PAC ID
9830579770
Professional Enrollment ID
I20220804001361
Address ID
HI967931286WA1773XLOOP401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

594 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in CA

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Provider Addresses for JOYCE SOHN KIM

  • West 6th Street, Historic Core District, Downtown, Los Angeles, Los Angeles County, California, 900014, United States

    LOS ANGELES, CA 900171800

    Phone:

    Type: Mailing

  • PO BOX 880345

    PUKALANI, HI 967880345

    Phone:

    Type: Mailing

  • 91 KELEAWE ST

    MAKAWAO, HI 967688957

    Phone: (818) 359-8794

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220804001361IQualified Speech Language PathologistHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90017)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830579770View full group profile
NameSpecialtyState
Qualified Speech Language PathologistHI
Qualified Speech Language PathologistHI
Qualified Speech Language PathologistTX

Reviews

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Frequently asked questions

How do I look up JOYCE SOHN KIM by NPI?
Use NPI 1235637489 when you need to reference JOYCE SOHN KIM in forms, claims, or directories.
Is JOYCE SOHN KIM active in the national directory?
JOYCE SOHN KIM's public NPI profile is in an active state.
What field does JOYCE SOHN KIM work in?
You can think of JOYCE SOHN KIM as practicing within Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for JOYCE SOHN KIM?
The page summarizes Los Angeles, California for JOYCE SOHN KIM; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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