Myong-Su Jeffrey Kim

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA7106 Issued in CA

Practice address

342 W Foothill Blvd
Glendora, CA 91741-3327

Phone

(626) 963-7900

Fax

(888) 452-3813

NPI assigned

Apr 26, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Advanced Hearing Aid Center, Inc.

  • Hearing and Speech Clinic/Center
  • Glendora, CA
  • NPI 1457983728
  NPD (past) Authorized official
• MJK Hearing Care Center, Inc.

  • Hearing Aid Equipment
  • Glendora, CA
  • NPI 1932409539
  NPD (past) Authorized official

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1134487218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 W FOOTHILL BLVD",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413327",
            "telephone_number": "626-963-7900",
            "fax_number": "888-452-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 W FOOTHILL BLVD",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917413327",
            "telephone_number": "626-963-7900",
            "fax_number": "888-452-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MYONG-SU",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA7106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Kiely, RPH
• Christopher Kim
• David Y Kim, PA-C
• Grace Kim, PH.D.
• Grace Mijin Kim, DDS
• Sang Woo Kim
• Kimberlee Mendoza Marriage and Family Therapy
• Karen Anne Kimmons
• Lisa H Kimpark, M.D.
• Kislinger Eye Services Inc

• Hearing Instrument Specialist in Glendora, CA
• Providers in Glendora, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.