EUGENE L KIM MD NPI 1831350024

NPI Information

NPI: 1831350024
Provider Name: EUGENE L KIM, MD
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
13652 CANTARA ST
PANORAMA CITY, CA
ZIP 91402
Phone: (703) 362-2029
Get Directions

Eugene L Kim, MD is an adult medicine family medicine in Panorama City, CA with 22 years of experience. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Eugene L Kim, MD NPI is 1831350024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:2002

The provider's business location address is:

13652 CANTARA ST
PANORAMA CITY, CA
ZIP 91402-423
Phone: (703) 362-2029

The NPI 1831350024 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 6/19/2008 and was last updated on 2/22/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	A125087	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00789316	OTHER		MEDICARE RAILROAD CARRIER
2	020251M68	MEDICARE PIN
3	541131672006	OTHER		TRICARE
4	1831350024	MEDICAID	VIRGINIA
5	022118C59	MEDICARE PIN	VIRGINIA
6	372703	OTHER		ANTHEM

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: 4/28/2024

NPI Synchronization or Removal

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