Organization Active NPI

Hyun Myung Jim Cho MD Inc

  • Internal Medicine Physician
  • Palm Desert, CA
National Provider Identifier
1003091091
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A68018 Issued in CA
Legal business name
HYUN MYUNG JIM CHO MD INC
Practice address
41990 Cook St
Suite F1001
Palm Desert, CA 92211-6100
Phone
(760) 360-2502
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bum Song
Title
Manager
Phone
(760) 574-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A68018 CA Primary

Addresses

Primary practice location

41990 Cook St
Suite F1001
Palm Desert, CA 92211-6100

Mailing address

41990 Cook St
Suite F1001
Palm Desert, CA 92211-6100
Phone (760) 360-2502

Other names 1

  • Jim Cho Md Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081118000914 CA Part B Supplier - Clinic/Group Practice 5294895447 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Desert, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1005005Jim Cho MD Inc41990 Cook St Ste F1001, Palm Desert, CA 92211Certificate of waiverOct 10, 2026

National Provider Directory

National Provider Directory

Locations

41990 Cook St
Ste F1001
Palm Desert, CA 92211
Phone (760) 360-2502

41990 Cook St
Ste 1001
Palm Desert, CA 92211
Phone (760) 360-0033

41990 Cook St
#F1001
Palm Desert, CA 92211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1003091091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41990 COOK ST",
            "address_2": "SUITE F1001",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116100",
            "telephone_number": "760-360-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41990 COOK ST",
            "address_2": "SUITE F1001",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116100",
            "telephone_number": "760-360-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYUN MYUNG JIM CHO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "BUM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-574-8080"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A68018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jim Cho Md Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.