Active NPI
Julie Haijung Kim, MD
- Internal Medicine Physician
- Irvine, CA
National Provider Identifier
1194892026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A76770
- Practice address
- 6340 Irvine Blvd
Irvine, CA 92620-2102 - Phone
- (949) 559-6500
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A76770 | CA | Primary |
Addresses
Primary practice location
6340 Irvine Blvd
Irvine, CA 92620-2102
Mailing address
PO Box 15787
Newport Beach, CA 92659-5787
Phone (949) 574-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A767700 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76770 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brainwave Neuro Performance LLC | Current | Accepting new patients | |
| Holistics LTD. Co | Current | Accepting new patients | |
| Neuromod Sciences | Current | Accepting new patients | |
| Pulse Braincare LLC | Current | Accepting new patients |
Locations
7360 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 219-1992
7350 E 29th Ave
Unit 200
Denver, CO 80238
Phone (512) 399-1632
Organizations & group practices 4
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.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Denver, CO
- NPI 1417753401
-
- Adult Mental Health Clinic/Center
- Newport Beach, CA
- NPI 1518359900
-
- Health Service Clinic/Center
- Tucson, AZ
- NPI 1639893118
-
- Adult Mental Health Clinic/Center
- Smyrna, GA
- NPI 1275328460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1194892026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15787",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926595787",
"telephone_number": "949-574-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6340 IRVINE BLVD",
"city": "IRVINE",
"state": "CA",
"postal_code": "926202102",
"telephone_number": "949-559-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JULIE",
"middle_name": "HAIJUNG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A76770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A767700",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.