JIENSUP KIM, M.D. INC.
NPI 1982775524
Specialist in Redlands, CA

Active since November 13, 2006
10431 COMMERCE ST, SUITE A, REDLANDS, CA 92374(909) 796-7700(909) 796-4383 Get Directions Write a Review

NPPES record last updated: March 24, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jiensup Kim, M.d. Inc. NPPES

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

JIENSUP KIM, M.D. INC. (NPI 1982775524) is a healthcare organization registered as a specialist in Redlands, California and active in the NPI registry since November 2006. The organization lists Jiensup Kim, President, as its authorized official.

NPPES Registry Identity

NPI1982775524
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJIENSUP KIM, M.D. INC.
Location Address10431 COMMERCE ST, SUITE ARedlands, CA 92374-2833
Mailing AddressPo Box 71Redlands, CA 92373-0021 · (909) 370-0300 · Fax (909) 370-0303
Fax(909) 796-4383
Organization SubpartNo
Authorized OfficialJiensup KimPresident · (909) 370-0300
Enumeration DateNovember 13, 2006
Last NPPES UpdateMarch 24, 2011
NPI 1982775524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G75806
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.

10431 COMMERCE ST, Redlands, CA 92374

Other Identifiers 2

Other1639131154CA · Individual Npi
Medicare UPING21366CA

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

Other Providers at the Same Location NPPES 6

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

Acupuncturist
10431 COMMERCE ST, SUITE A
REDLANDS, CA 92374
Speech-Language Pathologist
10431 COMMERCE ST
REDLANDS, CA 92374
Physical Therapist (Pediatrics)
10431 COMMERCE ST
REDLANDS, CA 92374
Occupational Therapist (Pediatrics)
10431 COMMERCE ST
REDLANDS, CA 92374
Occupational Therapist
10431 COMMERCE ST
REDLANDS, CA 92374
Physical Therapist
10431 COMMERCE ST, SUITE A
REDLANDS, CA 92374

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 Jiensup Kim, M.D. Inc.'s NPI number?

The NPI number for Jiensup Kim, M.D. Inc. is 1982775524. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is Jiensup Kim, M.D. Inc. located?

Jiensup Kim, M.D. Inc. is located at 10431 Commerce St Suite A, Redlands, CA 92374. The listed phone number is (909) 796-7700.

What is Jiensup Kim, M.D. Inc.'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 Jiensup Kim, M.D. Inc. was last updated on March 24, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.