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JEANNIE KIM MD A PROFESSIONAL CORPORATION
NPI 1639616410
Internal Medicine - Pulmonary Disease in El Cajon, CA

Active since January 31, 2017
1201 S ORANGE AVE, EL CAJON, CA 92020(888) 657-1576 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2019, Apr 12, 2019, Jan 31, 2017 (3 updates tracked since 2017).

About Jeannie Kim Md A Professional Corporation NPPES

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

JEANNIE KIM MD A PROFESSIONAL CORPORATION (NPI 1639616410) is a healthcare organization registered as a pulmonary disease in El Cajon, California and active in the NPI registry since January 2017. The organization lists Jeannie G Kim, President, as its authorized official.

NPPES Registry Identity

NPI1639616410
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameJEANNIE KIM MD A PROFESSIONAL CORPORATION
Location Address1201 S ORANGE AVEEl Cajon, CA 92020-7521
Mailing AddressPo Box 511419Los Angeles, CA 90051-7974 · (866) 284-2771 · Fax (800) 334-1041
Phone(888) 657-1576
Organization SubpartNo
Authorized OfficialJeannie G KimPresident · (858) 699-0669
Enumeration DateJanuary 31, 2017
Last NPPES UpdateMay 1, 20193 updates tracked since enumeration
✔ NPI 1639616410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A72965
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
1201 S ORANGE AVE, El Cajon, CA 92020
Open in Google Maps ↗

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 5

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

PEPPERBUSH HOLDINGS, LLC
Skilled Nursing Facility
1201 S ORANGE AVE
EL CAJON, CA 92020
San Diego County (619) 441-1988
RAVISH PRAJAPATI
Physician Assistant
1201 S ORANGE AVE
EL CAJON, CA 92020
San Diego County (872) 231-3162
MS. MARISOL BALISTRERI NP
Nurse Practitioner (Family)
1201 S ORANGE AVE
EL CAJON, CA 92020
San Diego County (619) 441-1918
GRACIELA MORALES
Respiratory Therapist, Registered
1201 S ORANGE AVE
EL CAJON, CA 92020
San Diego County (619) 441-1988
CHASE CARE CENTER
Skilled Nursing Facility
1201 S ORANGE AVE
EL CAJON, CA 92020
San Diego County (619) 441-1988

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 Jeannie Kim MD A Professional Corporation's NPI number?

The NPI number for Jeannie Kim MD A Professional Corporation is 1639616410. It was assigned to this organization in the NPPES registry on January 31, 2017.

Where is Jeannie Kim MD A Professional Corporation located?

Jeannie Kim MD A Professional Corporation is located at 1201 S Orange Ave, El Cajon, CA 92020. The listed phone number is (888) 657-1576.

What is Jeannie Kim MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Jeannie Kim MD A Professional Corporation was last updated on May 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.