Jae M Kim Md
LBN: Jae M Kim Md
Jae M Kim Md is an health care organization with primary practice located at 1433 W Merced Ave Ste 217 , West Covina CA 91790-3402. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty.
Jae M Kim Md can be contacted via phone (626) 917-1924, or through Wang, James via phone (626) 536-7534.
Contact Information
Primary practice address
1433 W Merced Ave Ste 217
West Covina CA 91790-3402
Phone: (626) 917-1924
Fax: (626) 337-9434
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A38835 | California |
Profile Details
NPI number | 1558530428 |
---|---|
LBN Legal business name | Jae M Kim Md |
DBA Doing business as | |
Authorized official | Wang, James |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 26th, 2008 |
Last updated | Feb 26th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558530428 | NPPES |
California | MEDICAID | 00A383350 |
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