Jae M Kim Md is a General Practice in West Covina, California. Jae M Kim Md practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jae M Kim Md is 1558530428. The last update date is 2008-02-26.
Jae M Kim Md's current location address is 1433 W Merced Ave Ste 217, West Covina, California. You can contact this provider via phone number 6269171924 and fax number 6263379434. The mailing address for Jae M Kim Md is 1433 W Merced Ave Ste 217, West Covina, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jae M Kim Md |
|---|---|
| Address | 1433 W Merced Ave Ste 217, West Covina, California |
| Phone Number | 6269171924 |
| Fax Number | 6263379434 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLER |
|---|---|
| Authorized Official Name | Wang James |
| Telephone Number | 6265367534 |
NPI Number Detail
| NPI Number | 1558530428 |
|---|---|
| Provider Enumeration Date | 2008-02-26 |
| Last Updated Date | 2008-02-26 |
Provider Mailing Address Detail
| Address | 1433 W Merced Ave Ste 217 |
|---|---|
| City | West Covina |
| State | California (CA) |
| Post Code | 917903402 |
| Phone Number | 6269171924 |
| Fax Number | 6263379434 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | A38835 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A383350 | CA | -- |
Post Comment/ Review Below
What is the Jae M Kim Md's unique identification number?
The Jae M Kim Md has been assigned the NPI (National Provider Identifier) Number 1558530428 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Jae M Kim Md?
The Jae M Kim Md is physically situated at 1433 W Merced Ave Ste 217, in the city of West Covina, state of CA, with the postal code 917903402.
What is Jae M Kim Md's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jae M Kim Md's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558530428 to Jae M Kim Md?
The Centers for Medicare & Medicaid Services assigned the 1558530428 to Jae M Kim Md on 2008-02-26.
When was the Jae M Kim Md's information last updated?
The Jae M Kim Md's information was last updated on 2008-02-26.
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