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:
Map and Directions
Authorized official contact:
Name: Wang, James
Phone: (626) 536-7534

Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558530428 NPPES
California MEDICAID 00A383350

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