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IRENE KIM DO
NPI 1164118568
Student in an Organized Health Care Education/Training Program in South Gate, CA

Active since April 18, 2023PECOS Enrolled
8627 ATLANTIC AVE, SOUTH GATE, CA 90280(323) 312-2605 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Irene Kim Do NPPES

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

IRENE KIM DO (NPI 1164118568) is an individual student in an organized health care education/training program in South Gate, California and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164118568
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIRENE KIMCredential: DO
Location Address8627 ATLANTIC AVESouth Gate, CA 90280-3501
Mailing Address8627 Atlantic AveSouth Gate, CA 90280-3501
Phone(323) 312-2605
Sole ProprietorNo
Enumeration DateApril 18, 2023
Last NPPES UpdateMay 18, 2023
NPPES CertifiedMay 18, 2023
✔ NPI 1164118568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
8627 ATLANTIC AVE, South Gate, CA 90280
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Irene Kim Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MR. ANTHONY DELOVINO LISTA APRN-CNP, FNP-BC
Nurse Practitioner (Family)
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (888) 499-9303
MEGHNA M DARA
Dentist (General Practice)
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (888) 499-9303
DR. NICHOLAS PATRICK BLASINGAME DPM
Podiatrist (Foot & Ankle Surgery)
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (877) 462-2582
DR. NATHAN JOSEPH BAUTISTA DO
Student in an Organized Health Care Education/Training Program
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (323) 312-2605
DR. JOSHUA SOLER MD
Student in an Organized Health Care Education/Training Program
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (323) 312-2605
STEPHANIE GALILEA BANUELOS CHAVEZ DDS
Dentist
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (888) 499-9303
MRS. MADOKA ARAI BARRIENTOS N.P.
Nurse Practitioner (Family)
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (888) 499-9303
LILIANA FLORES
Case Manager/Care Coordinator
8627 ATLANTIC AVE
SOUTH GATE, CA 90280
Los Angeles County (323) 312-2640

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 Irene Kim's NPI number?

The NPI number for Irene Kim is 1164118568. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Irene Kim located?

Irene Kim practices at 8627 Atlantic Ave, South Gate, CA 90280. The listed phone number is (323) 312-2605.

What is Irene Kim's specialty?

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

Is Irene Kim enrolled in Medicare?

Yes. Irene Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Irene Kim was last updated on May 18, 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.