JONG HUN KIM MD NPI 1417477183

NPI Information

  • NPI: 1417477183
  • Provider Name: JONG HUN KIM, MD
  • Classification: Family Medicine - 207QA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 831 E ARROW HWY
    POMONA, CA
    ZIP 91767
  • Phone: (909) 828-2338

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NPI Details

Jong Hun Kim, MD is an addiction medicine family medicine in Pomona, CA with 9 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Jong Hun Kim, MD NPI is 1417477183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

831 E ARROW HWY
POMONA, CA
ZIP 91767-535
Phone: (909) 828-2338

The NPI 1417477183 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 6/23/2017 and was last updated on 6/2/2025.

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
1207Q00000XFamily MedicineA163105CALIFORNIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207QA0401XFamily MedicineAddiction MedicineA163105CALIFORNIAYes

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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