Jennifer Y. Kim MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A75250 Issued in CA

Legal business name

JENNIFER Y. KIM MD INC

Practice address

360 E 7TH St Ste M
Upland, CA 91786-6701

Phone

(909) 608-0855

NPI assigned

Nov 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Kim, M.D.NPI 1992870323

Title

Physician, Ceo

Phone

(909) 608-0855

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jennifer Young-Hee Kim, M.D.

  • Pediatrics Physician
  • Upland, CA
  • NPI 1992870323
  NPD (past) Authorized official
• Un Bong (Anne) Lee Kim, M.D.

  • Pediatrics Physician
  • Upland, CA
  • NPI 1497820831
  NPD (past)

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1487956322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E 7TH ST STE M",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866701",
            "telephone_number": "909-608-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E 7TH ST STE M",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866701",
            "telephone_number": "909-608-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER Y. KIM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHYSICIAN, CEO",
        "authorized_official_telephone_number": "909-608-0855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A75250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie D Jenniches, NP
• Erin Marie Jensen, P.A
• Marvin Fletcher Jensen, M.D.,D.D.S.
• Jerson Vasquez DDS Inc.
• Jesus Lua, MD, a Professional Medical Corporation
• Leena Josephin Jetty, MD

• Pediatrics Physician in Upland, CA
• Providers in Upland, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.