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KIM ASSOCIATES MEDICAL CLINIC INC. NPI 1275690927


NPI Information

NPI: 1275690927
Provider Name: KIM ASSOCIATES MEDICAL CLINIC, INC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1433 W MERCED AVE STE 217
WEST COVINA, CA
ZIP 91790
Phone: (626) 917-1924
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KIM ASSOCIATES MEDICAL CLINIC, INC. is an internal medicine in West Covina, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. KIM ASSOCIATES MEDICAL CLINIC, INC. NPI is 1275690927. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1433 W MERCED AVE STE 217
WEST COVINA, CA
ZIP 91790-402
Phone: (626) 917-1924
Fax: (626) 337-8434

The provider's authorized official is Jae M. Kim .
The authorized official title is CHIEF EXECUTIVE OFFICERExecutive Officer and has the following contact phone number (626) 917-1924.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 12/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA39454CALIFORNIANo
2207R00000XInternal MedicineA38835CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W22266MEDICARE PINCALIFORNIA
2C03987MEDICARE UPINCALIFORNIA
31689735953MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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