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JESSICA NAH-HYUNG KIM MD NPI 1477086866


NPI Information

NPI: 1477086866
Provider Name: JESSICA NAH-HYUNG KIM, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Organization: PROVIDENCE MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
1095 IRVINE BLVD
TUSTIN, CA
ZIP 92780
Phone: (714) 505-7110
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Jessica Nah-hyung Kim, MD is a pediatrics in Tustin, CA with 7 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Jessica Nah-hyung Kim, MD NPI is 1477086866. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

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

The provider's business location address is:

1095 IRVINE BLVD
TUSTIN, CA
ZIP 92780-526
Phone: (714) 505-7110

The NPI 1477086866 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 4/4/2017 and was last updated on 12/3/2021.


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
1207R00000XInternal MedicineA157835CALIFORNIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3208000000XPediatricsA157835CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.