HYUNJOONG WILLIAM KIM MD NPI 1710478250

NPI Information

NPI: 1710478250
Provider Name: HYUNJOONG WILLIAM KIM, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1001 POTRERO AVENUE
BLDG. 5, 1ST FL.
SAN FRANCISCO, CA
ZIP 94110
Phone: (628) 206-8020
Get Directions

Hyunjoong William Kim, MD is a diagnostic radiology radiology in San Francisco, CA with 6 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Hyunjoong William Kim, MD NPI is 1710478250. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

1001 POTRERO AVENUE
BLDG. 5, 1ST FL.
SAN FRANCISCO, CA
ZIP 94110
Phone: (628) 206-8020

The NPI 1710478250 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 5/21/2018 and was last updated on 3/21/2024.

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
1	2085R0202X	Radiology	Diagnostic Radiology	304704	NEW YORK	No
2	207R00000X	Internal Medicine		MT215077	PENNSYLVANIA	No
3	2085R0202X	Radiology	Diagnostic Radiology	A185835	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100380268	MEDICAID	CALIFORNIA
2	532689	OTHER	CALIFORNIA	ANTHEM BLUE CROSS

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: 4/28/2024

NPI Synchronization or Removal

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