JONATHAN D KIM DPM PC NPI 1376384727

NPI Information

  • NPI: 1376384727
  • Provider Name: JONATHAN D KIM DPM PC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 190 S WALNUT GROVE AVE APT B
    SAN GABRIEL, CA
    ZIP 91776
  • Phone: (442) 599-4470

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NPI Details

JONATHAN D KIM DPM PC is a foot and ankle surgery podiatrist in San Gabriel, CA. JONATHAN D KIM DPM PC NPI is 1376384727. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

190 S WALNUT GROVE AVE APT B
SAN GABRIEL, CA
ZIP 91776-757
Phone: (442) 599-4470

The provider's authorized official is Jonathan Kim .
The authorized official title is Chief Executive Officer and has the following contact phone number (442) 599-4470.

The enumeration date for this NPI number is 5/31/2024 and was last updated on 5/31/2024.

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
1213ES0103XPodiatristFoot & Ankle SurgeryYes
2261QP1100XClinic/CenterPodiatricNo

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: 11/21/2025

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