MR. JIN TAEK KIM JIN KIM PA-C NPI 1952447625

NPI Information

NPI: 1952447625
Provider Name: MR. JIN TAEK KIM, JIN KIM PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
400 PARNASSUS AVE
SAN FRANCISCO, CA
ZIP 94143
Phone: (415) 353-2954
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MR. Jin Taek Kim, JIN KIM PA-C is a surgical physician assistant in San Francisco, CA with 19 years of experience. MR. Jin Taek Kim, JIN KIM PA-C NPI is 1952447625. 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:

400 PARNASSUS AVE
SAN FRANCISCO, CA
ZIP 94143-202
Phone: (415) 353-2954

The NPI 1952447625 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 1/30/2007 and was last updated on 2/11/2022.

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	363AS0400X	Physician Assistant	Surgical	PA18112	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: 4/28/2024

NPI Synchronization or Removal

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