Ivan Kim, MD is a medicare enrolled "Hospitalist" physician in San Marino, California. His current practice location is
2875 Sheffield Rd, San Marino, California. You can reach out to his office (for appointments etc.) via phone at
(909) 725-1135.
Ivan Kim is licensed to practice in California (license number A116735) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760644843.
Physician's Profile
Full Name | Ivan Kim |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2875 Sheffield Rd, San Marino, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ivan Kim attended and graduated from in
NPI Data:
- NPI Number: 1760644843
- Provider Enumeration Date: 06/30/2008
- Last Update Date: 12/08/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ivan Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760644843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | A116735 (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. Ivan Kim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ivan Kim, MD 2875 Sheffield Rd, San Marino, CA 91108-3029 Ph: (909) 725-1135 | Ivan Kim, MD 2875 Sheffield Rd, San Marino, CA 91108-3029 Ph: (909) 725-1135 |
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