Jong G Kim M.D. a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A32816 Issued in CA

Legal business name

JONG G KIM M.D. A MEDICAL CORPORATION

Practice address

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

Phone

(909) 860-0606

Fax

(909) 860-6161

NPI assigned

Dec 13, 2006

Last updated

Dec 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jong G. Kim, M.D.NPI 1053419176

Title

Physician

Phone

(909) 860-0606

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jong Guhn Kim, M.D.,

  • Obstetrics & Gynecology Physician
  • Diamond Bar, CA
  • NPI 1053419176
  Authorized official Same address or phone

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1225199201",
    "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": {
        "organization_name": "JONG G KIM M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "909-860-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A32816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JJS Pharmacy LLC (JJS Pharmacy)
• JMJ Therapea Corporation (JMJ Therapea Home Health Services)
• Joanne Leung D.D.S, a Professional Corp.
• John Tchaboukian DDS Inc (Diamond Bar Dental)
• Dollin Johnson
• Joseph W. Lee, a Professional Dental Corporation (Diamond Creek Dental)
• Sterin Joseph, SLP
• Joserita Hospice Care, Inc.
• Julian P Yniguez Physical Therapy, Inc.
• Da Eun Jung, DDS

• Specialist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.