EUN JUNG KIM D.O.
NPI 1942567292
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
1400 S GRAND AVE STE 101, LOS ANGELES, CA 90015(213) 744-0801 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eun Jung Kim D.o. NPPES

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

EUN JUNG KIM D.O. (NPI 1942567292) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2009).

NPPES Registry Identity

NPI1942567292
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEUN JUNG KIMCredential: D.O.
Location Address1400 S GRAND AVE STE 101Los Angeles, CA 90015-3048
Mailing Address1400 S Grand Ave Ste 101Los Angeles, CA 90015-3048
Sole ProprietorYes
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2009
Enumeration DateApril 11, 2012
Last NPPES UpdateNovember 29, 2021
NPPES CertifiedNovember 29, 2021
NPI 1942567292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1400 S GRAND AVE STE 101, Los Angeles, CA 90015

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Eun Jung Kim D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274758537
PECOS Enrollment IDI20140701000974
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 8

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

Family Medicine
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015
Family Medicine
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015
Family Medicine
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015
Social Worker
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015
Student in an Organized Health Care Education/Training Program
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015
Family Medicine
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015
Family Medicine
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015
Family Medicine (Adolescent Medicine)
1400 S GRAND AVE STE 101
LOS ANGELES, CA 90015

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 Eun Jung Kim's NPI number?

The NPI number for Eun Jung Kim is 1942567292. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Eun Jung Kim located?

Eun Jung Kim practices at 1400 S Grand Ave Ste 101, Los Angeles, CA 90015. The listed phone number is (213) 744-0801.

What is Eun Jung 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 Eun Jung Kim enrolled in Medicare?

Yes. Eun Jung Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Eun Jung Kim was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.