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DANIEL KIM MD
NPI 1174109904
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 22, 2021PECOS Enrolled
1520 SAN PABLO ST STE 3451, LOS ANGELES, CA 90033(408) 334-8754 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Kim Md NPPES

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

DANIEL KIM MD (NPI 1174109904) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2021).

NPPES Registry Identity

NPI1174109904
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDANIEL KIMCredential: MD
Location Address1520 SAN PABLO ST STE 3451Los Angeles, CA 90033-5315
Mailing Address1520 San Pablo St Ste 3451Los Angeles, CA 90033-5315
Phone(408) 334-8754
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2021
Enumeration DateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
✔ NPI 1174109904 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.
1520 SAN PABLO ST STE 3451, Los Angeles, CA 90033
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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)

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

PECOS PAC ID6709365018
PECOS Enrollment IDI20260206003243
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 2

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

CRISANJALI R RAJARATNAM MD
Anesthesiology
1520 SAN PABLO ST STE 3451
LOS ANGELES, CA 90033
Los Angeles County (323) 406-4597
MARIA CLARA ESPI ESCRIVA MD
Anesthesiology
1520 SAN PABLO ST STE 3451
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7400

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 Daniel Kim's NPI number?

The NPI number for Daniel Kim is 1174109904. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Daniel Kim located?

Daniel Kim practices at 1520 San Pablo St Ste 3451, Los Angeles, CA 90033. The listed phone number is (408) 334-8754.

What is Daniel 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 Daniel Kim enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Daniel Kim was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.