| Jongjin Kim Md Inc | |
|
5471 La Palma Ave Ste 200 La Palma CA 90623-4702 | |
| (714) 752-6088 | |
| (657) 577-9135 |
| Full Name | Jongjin Kim Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5471 La Palma Ave Ste 200, La Palma, California |
| Authorized Official Name and Position | Jongjin Kim (MEDICAL DIRECTOR / OWNER) |
| Authorized Official Contact | 7147526088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jongjin Kim Md Inc 5471 La Palma Ave Ste 200 La Palma CA 90623-4702 Ph: (714) 752-6088 | Jongjin Kim Md Inc 5471 La Palma Ave Ste 200 La Palma CA 90623-4702 Ph: (714) 752-6088 |
| NPI Number | 1689334476 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 12/21/2021 |
| Medicare PECOS PAC ID | 3072033554 |
|---|---|
| Medicare Enrollment ID | O20250227001790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689334476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jongjin Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356605836 PECOS PAC ID: 6305097015 Enrollment ID: I20220418001217 |
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