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JIN RIAN KIM MD NPI 1679597835


NPI Information

NPI: 1679597835
Provider Name: JIN RIAN KIM, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: APP OF INDIANA ED, PLLC

PECOS Registration: Yes

Address:
7000 BOULDER AVE
HIGHLAND, CA
ZIP 92346
Phone: (909) 862-1191
Get Directions

Jin Rian Kim, MD is a family medicine in Highland, CA with 28 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jin Rian Kim, MD NPI is 1679597835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7000 BOULDER AVE
HIGHLAND, CA
ZIP 92346-348
Phone: (909) 862-1191
Fax: (909) 793-2916

The NPI 1679597835 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 7/27/2006 and was last updated on 3/1/2016.


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
1207P00000XEmergency Medicine41996WISCONSINNo
2207Q00000XFamily MedicineC55676CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100439MEDICARE PINWISCONSIN
21851477913OTHERWISCONSINCMH NPI
332644100MEDICAIDWISCONSIN
4HI6655MEDICARE UPIN
5521310MEDICARE OSCAR/CERTIFICATIONWISCONSIN
611014110MEDICAIDWISCONSIN
7030280034MEDICARE OSCAR/CERTIFICATIONWISCONSIN
852Z310MEDICARE OSCAR/CERTIFICATIONWISCONSIN

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.