NPIMap

Organization Active NPI

Jung Bong Kim,MD,Inc.

  • Anesthesiology Physician
  • Irvine, CA
National Provider Identifier
1275863466
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A100599 Issued in CA
Legal business name
JUNG BONG KIM,MD,INC.
Practice address
4 Longbourn Aisle
Irvine, CA 92603-5722
Phone
(949) 679-8762
Fax
(949) 679-8762
NPI assigned
Jan 11, 2010
Last updated
Jan 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Dr. Jungbong Kim, MDNPI 1255429510
Title
President
Phone
(949) 679-8762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A100599 CA Primary

Addresses

Primary practice location

4 Longbourn Aisle
Irvine, CA 92603-5722

Mailing address

4 Longbourn Aisle
Irvine, CA 92603-5722
Phone (949) 679-8762

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1275863466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LONGBOURN AISLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926035722",
            "telephone_number": "949-679-8762",
            "fax_number": "949-679-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LONGBOURN AISLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926035722",
            "telephone_number": "949-679-8762",
            "fax_number": "949-679-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNG BONG KIM,MD,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JUNGBONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-679-8762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A100599",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 11, 2010; 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.