JOHN J KIM MD INC NPI 1003018755

Internal Medicine (Gastroenterology) in Upland, CA

NPI 1003018755 Organization Internal Medicine Gastroenterology

About JOHN J KIM MD INC

John J Kim Md Inc is an internal medicine provider established in Upland, California specializing in internal medicine (gastroenterology) . The NPI number of John J Kim Md Inc is 1003018755 and was assigned on June 2007. The practitioner's primary taxonomy code is 207RG0100X with license number A29493 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. John J Kim Md Inc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is John J. Kim M.d. (President)

An internist like John J Kim Md Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

NPI

1003018755

Provider NameJOHN J KIM MD INC
Provider Location Address629 N 13TH AVE UPLAND, CA 91786
Provider Mailing Address629 N 13TH AVE UPLAND, CA 91786
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-04-2007
Last Update Date06-27-2016


Primary Taxonomy

Taxonomy Code207RG0100X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.A29493
License StateCA
Taxonomy DescriptionAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Business Address

JOHN J KIM MD INC
629 N 13TH AVE
UPLAND, CA
ZIP 91786
Phone: (909) 981-8905
Fax: (909) 982-8051

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Mailing Address

JOHN J KIM MD INC
629 N 13TH AVE
UPLAND, CA
ZIP 91786
Phone: (909) 981-8905
Fax: (909) 982-8051



Authorized Official

Authorized Official Name JOHN J. KIM M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(909) 981-8905

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
A25790MEDICARE UPIN (02)CA

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619049749DR. CHUANG TI HUNG M.D.
Individual
Internal Medicine (Gastroenterology)629 N 13TH AVE
UPLAND, CA 91786
(909) 985-2709
1548218274 JOHN J KIM M.D.
Individual
Internal Medicine (Gastroenterology)629 N 13TH AVE
UPLAND, CA 91786
(909) 981-8905
1134131394 KATHLEEN A LAUREL P.A.-C.
Individual
Physician Assistant629 N 13TH AVE
UPLAND, CA 91786
(909) 985-2709
1487863395CT HUNG MD INC.
Organization
Specialist629 N 13TH AVE
UPLAND, CA 91786
(909) 985-2709

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.