| Joseph Y Kim MD Inc | |
|
960 E Green St Ste 105 Pasadena CA 91106-2443 | |
| (626) 304-0782 | |
| (626) 310-0552 |
| Full Name | Joseph Y Kim MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 960 E Green St Ste 105, Pasadena, California |
| Authorized Official Name and Position | Joseph Y Kim (OWNER) |
| Authorized Official Contact | 2133277822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Y Kim MD Inc Po Box 1449 Brea CA 92822-1449 Ph: (714) 996-1633 | Joseph Y Kim MD Inc 960 E Green St Ste 105 Pasadena CA 91106-2443 Ph: (626) 304-0782 |
| NPI Number | 1467346205 |
|---|---|
| Provider Enumeration Date | 06/05/2025 |
| Last Update Date | 06/05/2025 |
| Certification Date | 06/05/2025 |
| Medicare PECOS PAC ID | 9335647908 |
|---|---|
| Medicare Enrollment ID | O20250812004303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467346205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
| Provider Name | Joseph Kim |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568623049 PECOS PAC ID: 6103130083 Enrollment ID: I20150805009148 |
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