Jonathan D Kim Dpm Pc is a
Podiatrist - Foot & Ankle Surgery based in San Gabriel, California. Jonathan D Kim Dpm Pc is licensed to practice in * (Not Available) (license number ) and their current practice location is
190 S Walnut Grove Ave Apt B, San Gabriel, California. It can be reached at their office (for appointments etc.) via phone at
(442) 599-4470.
NPI number for Jonathan D Kim Dpm Pc is 1376384727 and their current mailing address is 190 S Walnut Grove Ave Apt B, San Gabriel, California. Jonathan D Kim Dpm Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1376384727.
Healthcare Provider's Profile
Full Name | Jonathan D Kim Dpm Pc |
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Type | Facility |
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Speciality | Podiatrist - Foot & Ankle Surgery |
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Location | 190 S Walnut Grove Ave Apt B, San Gabriel, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376384727
- Provider Enumeration Date: 05/31/2024
- Last Update Date: 05/31/2024
Medical Identifiers
Medical identifiers for Jonathan D Kim Dpm Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376384727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
261QP1100X | Clinic/center - Podiatric | (* (Not Available)) | Secondary |
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. Jonathan D Kim Dpm Pc 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 |
Jonathan D Kim Dpm Pc 190 S Walnut Grove Ave Apt B, San Gabriel, CA 91776-1757 Ph: (442) 599-4470 | Jonathan D Kim Dpm Pc 190 S Walnut Grove Ave Apt B, San Gabriel, CA 91776-1757 Ph: (442) 599-4470 |
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