DR. Jeong Hwan Jake Kim, MD is a student in an organized health care education training program in Thousand Oaks, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jeong Hwan Jake Kim, MD NPI is 1255919197. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
215 W JANSS RD
THOUSAND OAKS, CA
ZIP 91360-847
Phone: (805) 497-2727
The NPI 1255919197 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/31/2021 and was last updated on 3/31/2021.