JONG G KIM M.D. A MEDICAL CORPORATION
NPI 1225199201
Specialist in Diamond Bar, CA

Active since December 13, 2006
414 S PROSPECTORS RD, SUITE B, DIAMOND BAR, CA 91765(909) 860-0606(909) 860-6161 Get Directions Write a Review

NPPES record last updated: December 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jong G Kim M.d. A Medical Corporation NPPES

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

JONG G KIM M.D. A MEDICAL CORPORATION (NPI 1225199201) is a healthcare organization registered as a specialist in Diamond Bar, California and active in the NPI registry since December 2006. The organization lists Jong G. Kim, Physician, as its authorized official.

NPPES Registry Identity

NPI1225199201
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJONG G KIM M.D. A MEDICAL CORPORATION
Location Address414 S PROSPECTORS RD, SUITE BDiamond Bar, CA 91765-1615
Mailing Address414 S Prospectors Rd, Suite BDiamond Bar, CA 91765-1615 · (909) 860-0606 · Fax (909) 860-6161
Fax(909) 860-6161
Organization SubpartNo
Authorized OfficialJong G. KimPhysician · (909) 860-0606
Enumeration DateDecember 13, 2006
Last NPPES UpdateDecember 21, 2017
NPI 1225199201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A32816
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
414 S PROSPECTORS RD, Diamond Bar, CA 91765

Other Identifiers 1

Medicaid6169716CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Obstetrics & Gynecology
414 S PROSPECTORS RD, SUITE B
DIAMOND BAR, CA 91765
Family Medicine
414 S PROSPECTORS RD, STE A
DIAMOND BAR, CA 91765
Internal Medicine
414 S PROSPECTORS RD, SUITE A
DIAMOND BAR, CA 91765
Acupuncturist
414 S PROSPECTORS RD, #H
DIAMOND BAR, CA 91765

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 Jong G Kim M.D. A Medical Corporation's NPI number?

The NPI number for Jong G Kim M.D. A Medical Corporation is 1225199201. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Jong G Kim M.D. A Medical Corporation located?

Jong G Kim M.D. A Medical Corporation is located at 414 S Prospectors Rd Suite B, Diamond Bar, CA 91765. The listed phone number is (909) 860-0606.

What is Jong G Kim M.D. A Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jong G Kim M.D. A Medical Corporation was last updated on December 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.