1. Home
  2. Directory
  3. California
  4. Clearlake
  5. Internal Medicine
  6. NPI Profile

DR. ILKYOON KIM M.D.
NPI 1154434728
Internal Medicine - Cardiovascular Disease in Clearlake, CA

Active since August 16, 2006
15666 18TH AVENUE, CLEARLAKE, CA 95422(707) 994-4210(707) 994-0839 Get Directions Write a Review

NPPES record last updated: June 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ilkyoon Kim M.d. NPPES

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

DR. ILKYOON KIM M.D. (NPI 1154434728) is an individual cardiovascular disease provider in Clearlake, California, licensed in California (A34081) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1154434728
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ILKYOON KIMCredential: M.D.
Location Address15666 18TH AVENUEClearlake, CA 95422
Mailing AddressPo Box 5326Clearlake, CA 95422-5326 · (707) 994-4210 · Fax (707) 994-0839
Phone(707) 994-4210
Fax(707) 994-0839
Sole ProprietorYes
Enumeration DateAugust 16, 2006
Last NPPES UpdateJune 30, 2014
✔ NPI 1154434728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · A34081
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
15666 18TH AVENUE, Clearlake, CA 95422
Open in Google Maps ↗

Other Identifiers 9

Medicare UPINA88038
Other68-0068216Tin
Other00A340811CA · Blue Shield
OtherA34081CA · License Number
Medicaid00A340810CA
Other68-0068216Blue Cross
Medicaid00A340811CA
Other00A340812CA · Blue Shield
Medicare PIN00A340810CA

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 Ilkyoon Kim's NPI number?

The NPI number for Ilkyoon Kim is 1154434728. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Ilkyoon Kim located?

Ilkyoon Kim practices at 15666 18th Avenue, Clearlake, CA 95422. The listed phone number is (707) 994-4210.

What is Ilkyoon Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Ilkyoon Kim was last updated on June 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.