Kim-Wayne Medical Enterprises Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A101609 Issued in CA

Legal business name

KIM-WAYNE MEDICAL ENTERPRISES INC

Doing business as

Healthy Family Medical Center

Practice address

218 W Badillo St
Covina, CA 91723-1906

Phone

(626) 332-6234

Fax

(626) 331-1264

NPI assigned

May 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Kim-Waynbe Gin, M.D.NPI 1225140759

Title

Ceo

Phone

(626) 696-9078

Specialties & licenses 1

Addresses

Other names 1

• Healthy Family Medical Center Doing business as

Practitioners 1

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

• Jeffrey Kim-Wayne Gin, M.D.

  • Family Medicine Physician
  • Covina, CA
  • NPI 1225140759
  NPD Authorized official

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1285927897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231906",
            "telephone_number": "626-332-6234",
            "fax_number": "626-331-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231906",
            "telephone_number": "626-332-6234",
            "fax_number": "626-331-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM-WAYNE MEDICAL ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "GIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "KIM-WAYNBE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-696-9078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A101609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivy Njeri Kiberu, NP
• Martha Kidd
• Kidz Kare Doc
• Jeffrey Kieviet
• Melissa Killgo
• Eunice E Kim, LCSW
• James Kim, M.D.
• Mia Y Kim, M.S.
• Pauline Kim
• Sharon Kim, PHARMD

• Family Medicine Physician in Covina, CA
• Providers in Covina, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.