Individual provider Active NPI

Julie Haijung Kim, MD

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1194892026
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A76770 Issued in CA
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

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A767700MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515000182 CO Practitioner - Internal Medicine 4284719428 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76770CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Apr 13, 2025 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.

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

Verify at the official NPI Registry.