JI YEON KIM MD, MPH NPI 1003011677

Pathology (Clinical Pathology/Laboratory Medicine) in North Hollywood, CA

NPI 1003011677 Individual Female Pathology Clinical Pathology/Laboratory Medicine PECOS Enrolled

About JI YEON KIM

Ji Yeon Kim is a provider established in North Hollywood, California and her medical specialization is pathology (clinical pathology/laboratory medicine) . The NPI number of Ji Yeon Kim is 1003011677 and was assigned on June 2007. The practitioner's primary taxonomy code is 207ZP0105X with license number A122377 (CA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

Ji Yeon Kim is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Ji Yeon Kim is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1003011677

Provider Name JI YEON KIM MD, MPH
Provider Location Address11668 SHERMAN WAY ADMIN NORTH HOLLYWOOD, CA 91605
Provider Mailing Address11668 SHERMAN WAY ADMIN NORTH HOLLYWOOD, CA 91605
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-15-2007
Last Update Date04-29-2016


Primary Taxonomy

Taxonomy Code207ZP0105X
ClassificationPathology
TypeAllopathic & Osteopathic Physicians
SpecializationClinical Pathology/Laboratory Medicine
License No.A122377
License StateCA
Taxonomy DescriptionA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Business Address

JI YEON KIM MD, MPH
11668 SHERMAN WAY
ADMIN
NORTH HOLLYWOOD, CA
ZIP 91605
Phone: (818) 503-6710

Get Directions


Mailing Address

JI YEON KIM MD, MPH
11668 SHERMAN WAY
ADMIN
NORTH HOLLYWOOD, CA
ZIP 91605
Phone: (818) 503-6710



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891873303SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Organization
Clinical Medical Laboratory11668 SHERMAN WAY
N HOLLYWOOD, CA 91605
(818) 503-6800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.