Jiensup Kim, M.D. Inc.

LBN: Jiensup Kim, M.D. Inc.
Jiensup Kim, M.D. Inc. is an health care organization with primary practice located at 10431 Commerce St Suite A, Redlands CA 92374-2833. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Jiensup Kim, M.D. Inc. can be contacted via phone (909) 796-7700, or through Kim, Jiensup via phone (909) 370-0300.

Contact Information

Primary practice address
10431 Commerce St Suite A Redlands CA 92374-2833
Phone: (909) 796-7700
Fax: (909) 796-4383
Website:
Map and Directions
Authorized official contact:
Name: Kim, Jiensup Doctor of Medicine (MD)
Phone: (909) 370-0300

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G75806 California

Profile Details

NPI number 1982775524
LBN Legal business name Jiensup Kim, M.D. Inc.
DBA Doing business as
Authorized official Kim, Jiensup Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Mar 24th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982775524 NPPES
California Other 1639131154 INDIVIDUAL NPI

Popular Providers