Jessica Kim, PA-C, DC, LAC is a
Physician Assistant based in Upland, California. Jessica Kim is licensed to practice in California (license number 55087) and her current practice location is
1125 E 16th St, Suite 4, Upland, California. She can be reached at her office (for appointments etc.) via phone at
(909) 297-3531.
NPI number for Jessica Kim is 1285908673 and her current mailing address is 2100 Plaza Del Amo Unit 112, Torrance, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285908673.
Healthcare Provider's Profile
| Full Name | Jessica Kim |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1125 E 16th St, Upland, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285908673
- Provider Enumeration Date: 03/02/2012
- Last Update Date: 10/26/2017
Medical Identifiers
Medical identifiers for Jessica Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285908673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NS0005X | Chiropractor - Sports Physician | DC 32286 (California) | Secondary |
| 171100000X | Acupuncturist | AC 14601 (California) | Secondary |
| 363A00000X | Physician Assistant | 55087 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica Kim, PA-C, DC, LAC
2100 Plaza Del Amo Unit 112,
Torrance, CA 90501-3406
Ph: () - | Jessica Kim, PA-C, DC, LAC
1125 E 16th St, Suite 4,
Upland, CA 91784-9179
Ph: (909) 297-3531 |
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