Ronald C Kim, MD

Primary specialty

Neuropathology PhysicianTaxonomy code 207ZN0500X

License

G13550 Issued in CA

Practice address

5901 East Seventh Street
Dvamc (05/113NP)
Long Beach, CA 90822

Phone

(562) 826-5513

Fax

(562) 826-5623

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1003915661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 EAST SEVENTH STREET",
            "address_2": "DVAMC (05/113NP)",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90822",
            "telephone_number": "562-826-5513",
            "fax_number": "562-826-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 EAST SEVENTH STREET",
            "address_2": "DVAMC (05/113NP)",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90822",
            "telephone_number": "562-826-5513",
            "fax_number": "562-826-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "RONALD",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZN0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Neuropathology",
            "state": "CA",
            "license": "G13550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WG13550A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G135500",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G135500",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "220027744",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mira Kim
• Monica Kim, M.D.
• Monthor Rene Kim, OTR
• Patrick Kim, D.C.
• Paul Jung Kim, D.D.S M.D.
• S.Don Kim, D.P.M.
• Sang Il Kim, BCC-MH
• Sharon H Kim
• Simon J Kim, DO
• Sok Khen Kim

• Neuropathology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Neuropathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.