CHAN HEE KIM MD
NPI 1124719869
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since May 15, 2023
11234 ANDERSON ST # C, LOMA LINDA, CA 92354(909) 558-4015 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2023, May 15, 2023 (2 updates tracked since 2023).

About Chan Hee Kim Md NPPES

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

CHAN HEE KIM MD (NPI 1124719869) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1124719869
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHAN HEE KIMCredential: MD
Location Address11234 ANDERSON ST # CLoma Linda, CA 92354-2804
Mailing Address11234 Anderson StLoma Linda, CA 92354-2804 · (909) 558-4015
Sole ProprietorNo
Enumeration DateMay 15, 2023
Last NPPES UpdateJune 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
NPI 1124719869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11234 ANDERSON ST # C, Loma Linda, CA 92354

Other Providers at the Same Location NPPES 16

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

Internal Medicine
11234 ANDERSON ST # C
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST # C
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST # C
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST # C
LOMA LINDA, CA 92354
Pediatrics
11234 ANDERSON ST # C
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST # C
LOMA LINDA, CA 92354
Anesthesiology (Critical Care Medicine)
11234 ANDERSON ST # C
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST # C
LOMA LINDA, CA 92354

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 Chan Hee Kim's NPI number?

The NPI number for Chan Hee Kim is 1124719869. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Chan Hee Kim located?

Chan Hee Kim practices at 11234 Anderson St # C, Loma Linda, CA 92354. The listed phone number is (909) 558-4015.

What is Chan Hee Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Chan Hee Kim was last updated on June 7, 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.