Kim Associates Medical Clinic, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A38835 Issued in CA

Legal business name

KIM ASSOCIATES MEDICAL CLINIC, INC.

Practice address

1433 W Merced Ave Ste 217
West Covina, CA 91790-3402

Phone

(626) 917-1924

Fax

(626) 337-8434

NPI assigned

Jan 2, 2007

Organization subpart

No

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

Authorized official

Name

Jae M. Kim, M.D.

Title

Chief Executive Officer

Phone

(626) 917-1924

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hee Yong Oh, M.D.

  • Internal Medicine Physician
  • West Covina, CA
  • NPI 1225106693
  NPD

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1275690927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE STE 217",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903402",
            "telephone_number": "626-917-1924",
            "fax_number": "626-337-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE STE 217",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903402",
            "telephone_number": "626-917-1924",
            "fax_number": "626-337-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM ASSOCIATES MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIEF  EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-917-1924",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A38835",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A39454",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689735953",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farzad J. Khoubian, M.D.
• Kiatkachorn Ratanatharathorn, DDS Inc
• Leigh Kilgus
• Caroline Kilpatrick
• William R Kilpatrick, MD
• Aileen Kim, D.D.S., M.S.
• Betty Kim
• Choon Kyung Kim, D.D.S.
• Eunsun Kim
• Heidi Weizhang Kim, DDS

• Internal Medicine Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.