JAE M KIM MD
NPI 1558530428
General Practice in West Covina, CA

Q: What is Jae M Kim MD's NPI number?

The NPI number for Jae M Kim MD is 1558530428. It was assigned to this organization in the NPPES registry on February 26, 2008.

Q: What is Jae M Kim MD's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Jae M Kim MD was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 26, 2008

1433 W MERCED AVE STE 217, WEST COVINA, CA 91790(626) 917-1924(626) 337-9434 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jae M Kim Md NPPES

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

JAE M KIM MD (NPI 1558530428) is a healthcare organization registered as a general practice in West Covina, California and active in the NPI registry since February 2008. The organization lists James Wang, Biller, as its authorized official.

NPPES Registry Identity

NPI1558530428

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameJAE M KIM MD

Location Address1433 W MERCED AVE STE 217West Covina, CA 91790-3402

Mailing Address1433 W Merced Ave Ste 217West Covina, CA 91790-3402 · (626) 917-1924 · Fax (626) 337-9434

Phone(626) 917-1924

Fax(626) 337-9434

Organization SubpartNo

Authorized OfficialJames WangBiller · (626) 536-7534

Enumeration DateFebruary 26, 2008

✔ NPI 1558530428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A38835

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1433 W MERCED AVE STE 217, West Covina, CA 91790

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Other Identifiers 2

Medicaid00A383350CA

Medicare UPINA38835CA

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

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

KIM ASSOCIATES MEDICAL CLINIC, INC.

Internal Medicine

1433 W MERCED AVE STE 217
WEST COVINA, CA 91790

Los Angeles County (626) 917-1924

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 Jae M Kim MD's NPI number?

The NPI number for Jae M Kim MD is 1558530428. It was assigned to this organization in the NPPES registry on February 26, 2008.

Where is Jae M Kim MD located?

Jae M Kim MD is located at 1433 W Merced Ave Ste 217, West Covina, CA 91790. The listed phone number is (626) 917-1924.

What is Jae M Kim MD's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jae M Kim MD was last updated on February 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.