Active NPI
Hyun Myung Jim Cho MD Inc
- Internal Medicine Physician
- Palm Desert, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A68018
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1005005 | Jim Cho MD Inc | Certificate of waiver | Oct 10, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Palm Desert, CA
- NPI 1073658530
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.