Jong Guhn Kim, M.D.,

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

953677780 Issued in CA

Practice address

414 S Prospectors Rd
Suite B
Diamond Bar, CA 91765-1615

Phone

(909) 860-0606

Fax

(909) 860-6161

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Doctors Hospital of West Covina, Inc.

  • Skilled Nursing Facility
  • West Covina, CA
  • NPI 1013925072
  NPD (past)
• Emanate Health Medical Center

  • General Acute Care Hospital
  • West Covina, CA
  • NPI 1063441293
  NPD (past)
• Emanate Health Medical Center

  • General Acute Care Hospital
  • Covina, CA
  • NPI 1982629440
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1053419176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 S PROSPECTORS RD",
            "address_2": "SUITE B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651615",
            "telephone_number": "909-860-0606",
            "fax_number": "909-860-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 S PROSPECTORS RD",
            "address_2": "SUITE B",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651615",
            "telephone_number": "909-860-0606",
            "fax_number": "909-860-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JONG",
        "middle_name": "GUHN",
        "name_prefix": "Mr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "953677780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6169716",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hyung Ah Kim
• James Eui Dong Kim, RN
• Jeunghoan Kim, FNP-C
• Jin Y Kim, DDS, MPH, MS
• Jin Young Kim, D.D.S.
• June Kim, ACUPUNCTURIST
• Jung Hyun Kim
• Keun Chul Kim
• Micah Kim, D.C.
• Roy Kim

• Obstetrics & Gynecology Physician in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.