Jae M Kim is a Internal Medicine in West Covina, California. Jae M Kim practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jae M Kim is 1689735953. The last update date is 2008-03-14.
Jae M Kim's current location address is 1433 W Merced Ave., West Covina, California. You can contact this provider via phone number 6269171924 and fax number 6263378434. The mailing address for Jae M Kim is 1433 W Merced Ave., West Covina, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jae M Kim |
|---|---|
| Address | 1433 W Merced Ave., West Covina, California |
| Phone Number | 6269171924 |
| Fax Number | 6263378434 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1689735953 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2008-03-14 |
Provider Mailing Address Detail
| Address | 1433 W Merced Ave. |
|---|---|
| City | West Covina |
| State | California (CA) |
| Post Code | 917905058 |
| Phone Number | 6269171924 |
| Fax Number | 6263378434 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A38835 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A388350 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jae M Kim by the Centers for Medicare & Medicaid Services?
The Jae M Kim has been issued the NPI (National Provider Identifier) 1689735953, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jae M Kim's facilities are geographically located?
The facilities of Jae M Kim are physically situated at the following location: 1433 W Merced Ave., West Covina, CA, 917905058.
What is the area of specialization for Jae M Kim, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jae M Kim is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did Jae M Kim receive its 1689735953 assignment from the Centers for Medicare & Medicaid Services?
The Jae M Kim was assigned its 1689735953 on 2006-12-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jae M Kim most recently updated or revised?
The information pertaining to Jae M Kim, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-14.