Dr Sun Moon Kim, DO is a
Student In An Organized Health Care Education/training Program based in Philadelphia, Pennsylvania. Dr Sun Moon Kim is licensed to practice in * (Not Available) (license number ) and his current practice location is
4190 City Ave, Philadelphia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(215) 871-6690.
NPI number for Dr Sun Moon Kim is 1669069696 and his current mailing address is 4190 City Ave, Philadelphia, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669069696.
Healthcare Provider's Profile
| Full Name | Dr Sun Moon Kim |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 4190 City Ave, Philadelphia, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1669069696
- Provider Enumeration Date: 12/23/2020
- Last Update Date: 04/29/2025
Medical Identifiers
Medical identifiers for Dr Sun Moon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669069696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 28RI03972600 (New Jersey) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Dr Sun Moon Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Sun Moon Kim, DO
4190 City Ave,
Philadelphia, PA 19131-1626
Ph: (215) 871-6690 | Dr Sun Moon Kim, DO
4190 City Ave,
Philadelphia, PA 19131-1626
Ph: (215) 871-6690 |
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