HANNAH SUH KIM P.A. NPI 1487962288

NPI Information

NPI: 1487962288
Provider Name: HANNAH SUH KIM, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
9961 SIERRA AVE
FONTANA, CA
ZIP 92335
Phone: (909) 427-5000
Get Directions

Hannah Suh Kim, P.A. is a medical physician assistant in Fontana, CA. Hannah Suh Kim, P.A. NPI is 1487962288. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9961 SIERRA AVE
FONTANA, CA
ZIP 92335-720
Phone: (909) 427-5000

The NPI 1487962288 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 9/15/2010 and was last updated on 12/14/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		IN THE PROCESS	CALIFORNIA	No
2	363AM0700X	Physician Assistant	Medical	PA21208	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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