DR. JAE YUL KIM M.D. NPI 1023147014

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Duarte, CA

About JAE KIM

Jae Kim is a provider in Duarte, CA with more than 16 years of experience. The NPI number assigned to this provider is 1023147014. The practitioner's primary taxonomy code is Thoracic Surgery (Cardiothoracic Vascular Surgery) (208G00000X). The provider is registered as an individual and their NPI record was last updated 0 years ago. Jae Kim is registered with Medicare and accepts claims assignment.

NPI1023147014 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. JAE YUL KIM M.D.
Provider Location Address1500 DUARTE RD DUARTE, CA 91010 Additional informationCallout TooltipProvider 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 AddressPO BOX 512185 LOS ANGELES, CA 90051 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
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).
Medical School NameUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. 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.
Enumeration Date03-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date11-07-2017 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. JAE YUL KIM M.D.
1500 DUARTE RD
DUARTE, CA
ZIP 91010
Phone: (626) 256-4673
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Mailing Address

DR. JAE YUL KIM M.D.
PO BOX 512185
LOS ANGELES, CA
ZIP 90051
Phone: (626) 775-3514

Primary Taxonomy

Taxonomy Code208G00000X Additional informationCallout TooltipPrimary 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.
ClassificationThoracic Surgery (Cardiothoracic Vascular Surgery)
TypeAllopathic & Osteopathic Physicians
License No.A85288
License StateCA
Taxonomy DescriptionA thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Map Location


DR. JAE YUL KIM M.D. address is 1500 DUARTE RD DUARTE, CA 91010

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053437871CITY OF HOPE
Organization
Special Hospital1500 DUARTE RD
DUARTE, CA 91010
(626) 256-4673
1073657581MS. SEE-LUN CECILIA LAU RPH, BCOP
Individual
Pharmacist (Oncology)1500 DUARTE RD DEPARTMENT OF PHARMACY SERVICES
DUARTE, CA 91010
(626) 256-4673
1265642110MS. KIMHUYNH THI NGUYEN NURSE PRACTITIONER
Individual
Nurse Practitioner (Family)1500 DUARTE RD
DUARTE, CA 91010
(626) 471-7100
1346307956MS. PAMELA RENEE TRYON N.P.
Individual
Nurse Practitioner (Acute Care)1500 DUARTE RD DEPARTMENT OF MEDICAL ONCOLOGY
DUARTE, CA 91010
(626) 359-8111
1407078462MRS. NATALIE LYNN CARBUNARU RN, NP
Individual
1500 DUARTE RD
DUARTE, CA 91010
(626) 256-4673
1528182508 LAURA BOURDEANU NP
Individual
Nurse Practitioner1500 DUARTE RD
DUARTE, CA 91010
(626) 256-4673
1528277654DR. MARILYN LOUISE SLOVAK PH.D.
Individual
Pathology (Clinical Laboratory Director, Non-physician)1500 DUARTE RD NORTHWEST BUILDING, ROOM 2255
DUARTE, CA 91010
(626) 256-4673
1528278462 CYNTHIA ANN KELLY NP
Individual
Nurse Practitioner1500 DUARTE RD
DUARTE, CA 91010
(626) 256-4673
1609086669MS. MELISSA SCALIA NP
Individual
Nurse Practitioner (Adult Health)1500 DUARTE RD
DUARTE, CA 91010
(626) 256-4673
1619021573MS. JULIE ANN SCHOLLER R.D.
Individual
Dietitian, Registered1500 DUARTE RD
DUARTE, CA 91010
(626) 359-8111
1629288725 ANNA LIZZA TEOTICO N.P.
Individual
Nurse Practitioner (Adult Health)1500 DUARTE RD
DUARTE, CA 91010
(626) 256-4673
1720120389MS. SALLY JILL PATAKY R.D.
Individual
Dietitian, Registered1500 DUARTE RD
DUARTE, CA 91010
(626) 256-4673
1730143124DR. JULIO E. GARCIA-AGUILAR MD
Individual
Colon & Rectal Surgery1500 DUARTE RD
DUARTE, CA 91010
(626) 359-8111
1750326948MR. CARLOS GARBEROGLIO MD
Individual
Surgery (Surgical Oncology)1500 DUARTE RD
DUARTE, CA 91010
(626) 359-8111
1851416374CITY OF HOPE
Organization
Special Hospital1500 DUARTE RD
DUARTE, CA 91010
(626) 256-4673
1891726576MR. HYMAN GILDENHORN MD
Individual
Radiology (Diagnostic Radiology)1500 DUARTE RD
DUARTE, CA 91010
(626) 359-8111
1902014111 KARLA DEE WILSON FNP-C
Individual
Nurse Practitioner (Family)1500 DUARTE RD COH, DPS RM 120
DUARTE, CA 91010
(626) 359-8111
1912006636CALIFORNIA CANCER SPECIALISTS MEDICAL GROUP INC
Organization
Anesthesiology1500 DUARTE RD
DUARTE, CA 91010
(626) 359-8111
1912116658MS. WENDY CAROLYN LANDIER NP
Individual
Nurse Practitioner (Pediatrics)1500 DUARTE RD DPS-173, ROOM 153
DUARTE, CA 91010
(626) 471-7320
1962555060MS. LAURA ANALIA DORR-UYEMURA R.D.
Individual
Dietitian, Registered1500 DUARTE RD
DUARTE, CA 91010
(626) 256-4673