TAE EUNG JACK KIM MD A MEDICAL CORPORATION
NPI 1265141626
Emergency Medicine in Corona, CA

Active since November 15, 2022
800 MAIN STREET, CORONA, CA 92882(951) 737-4343 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 11, 2023, Nov 29, 2022, Nov 25, 2022 and 1 more (4 updates tracked since 2022).

About Tae Eung Jack Kim Md A Medical Corporation NPPES

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

TAE EUNG JACK KIM MD A MEDICAL CORPORATION (NPI 1265141626) is a healthcare organization registered as an emergency medicine in Corona, California and active in the NPI registry since November 2022. The organization lists Tae Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1265141626
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameTAE EUNG JACK KIM MD A MEDICAL CORPORATION
Location Address800 MAIN STREETCorona, CA 92882
Mailing Address407 W Imperial Hwy Ste HBrea, CA 92821-4803 · (877) 996-3763
Organization SubpartNo
Authorized OfficialTae KimOwner · (714) 255-9897
Enumeration DateNovember 15, 2022
Last NPPES UpdateOctober 11, 20234 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1265141626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
800 MAIN STREET, Corona, CA 92882

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Tae Eung Jack Kim MD A Medical Corporation's NPI number?

The NPI number for Tae Eung Jack Kim MD A Medical Corporation is 1265141626. It was assigned to this organization in the NPPES registry on November 15, 2022.

Where is Tae Eung Jack Kim MD A Medical Corporation located?

Tae Eung Jack Kim MD A Medical Corporation is located at 800 Main Street, Corona, CA 92882. The listed phone number is (951) 737-4343.

What is Tae Eung Jack Kim MD A Medical Corporation's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Tae Eung Jack Kim MD A Medical Corporation was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.