David Kim, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. He graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
515 Columbia Ave # 200, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(213) 249-9388.
David Kim is licensed to practice in California (license number LCSW128352) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1386922797.
Healthcare Provider's Profile
| Full Name | David Kim |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 515 Columbia Ave # 200, Los Angeles, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- David Kim graduated from medical school in 2019
NPI Data:
- NPI Number: 1386922797
- Provider Enumeration Date: 08/02/2011
- Last Update Date: 02/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 0244758936
- Enrollment ID: I20250516000827
Medical Identifiers
Medical identifiers for David Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386922797 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 01331214 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | 90211 (California) | Secondary |
| 104100000X | Social Worker | ASW90211 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW128352 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David Kim allows following entities to bill medicare on his behalf.
| Entity Name | Special Service For Groups |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952442949
PECOS PAC ID: 2769396886
Enrollment ID: O20031113000561 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Kim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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David Kim,
515 Columbia Ave # 200,
Los Angeles, CA 90017-1209
Ph: (213) 249-9388 | David Kim,
515 Columbia Ave # 200,
Los Angeles, CA 90017
Ph: (213) 249-9388 |
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