Jaehyeon Kim, is a
Rehabilitation Practitioner based in San Diego, California. Jaehyeon Kim is licensed to practice in * (Not Available) (license number ) and his current practice location is
8755 Aero Dr Ste 230, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(858) 256-2180.
NPI number for Jaehyeon Kim is 1891474862 and his current mailing address is 8755 Aero Dr Ste 230, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891474862.
Healthcare Provider's Profile
| Full Name | Jaehyeon Kim |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 8755 Aero Dr Ste 230, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891474862
- Provider Enumeration Date: 07/17/2023
- Last Update Date: 09/10/2023
Medical Identifiers
Medical identifiers for Jaehyeon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891474862 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | 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. Jaehyeon 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 |
|---|
Jaehyeon Kim,
8755 Aero Dr Ste 230,
San Diego, CA 92123-1750
Ph: (858) 256-2180 | Jaehyeon Kim,
8755 Aero Dr Ste 230,
San Diego, CA 92123-1750
Ph: (858) 256-2180 |
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