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JERRY KIM MD INC
NPI 1093452278
Surgery - Vascular Surgery in Pomona, CA

Active since May 18, 2022
350 VINTON AVE STE 202, POMONA, CA 91767(909) 973-1148(909) 363-4954 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 24, 2022, May 18, 2022 (2 updates tracked since 2022).

About Jerry Kim Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY KIM MD INC (NPI 1093452278) is a healthcare organization registered as a vascular surgery in Pomona, California and active in the NPI registry since May 2022. The organization lists Jerry J Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1093452278
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameJERRY KIM MD INC
Location Address350 VINTON AVE STE 202Pomona, CA 91767-3000
Mailing Address2625 Roadrunner DrLa Verne, CA 91750-2350
Phone(909) 973-1148
Fax(909) 363-4954
Organization SubpartNo
Authorized OfficialJerry J KimOwner · (818) 913-2393
Enumeration DateMay 18, 2022
Last NPPES UpdateAugust 1, 20232 updates tracked since enumeration
NPPES CertifiedAugust 1, 2023
✔ NPI 1093452278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X
350 VINTON AVE STE 202, Pomona, CA 91767
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Group Practice 1

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER LAM MD
Surgery (Vascular Surgery)
350 VINTON AVE STE 202
POMONA, CA 91767
Los Angeles County (909) 973-1148
DR. JERRY J KIM MD
Surgery (Vascular Surgery)
350 VINTON AVE STE 202
POMONA, CA 91767
Los Angeles County (909) 909-1148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Kim MD Inc's NPI number?

The NPI number for Jerry Kim MD Inc is 1093452278. It was assigned to this organization in the NPPES registry on May 18, 2022.

Where is Jerry Kim MD Inc located?

Jerry Kim MD Inc is located at 350 Vinton Ave Ste 202, Pomona, CA 91767. The listed phone number is (909) 973-1148.

What is Jerry Kim MD Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Jerry Kim MD Inc was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.