| Jae M Kim Md | |
|
1433 W Merced Ave Ste 217 West Covina CA 91790-3402 | |
| (626) 917-1924 | |
| (626) 337-9434 |
| Full Name | Jae M Kim Md |
|---|---|
| Speciality | General Practice |
| Location | 1433 W Merced Ave Ste 217, West Covina, California |
| Authorized Official Name and Position | James Wang (BILLER) |
| Authorized Official Contact | 6265367534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jae M Kim Md 1433 W Merced Ave Ste 217 West Covina CA 91790-3402 Ph: (626) 917-1924 | Jae M Kim Md 1433 W Merced Ave Ste 217 West Covina CA 91790-3402 Ph: (626) 917-1924 |
| NPI Number | 1558530428 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 02/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558530428 | NPI | - | NPPES |
| 00A383350 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A38835 (California) | Primary |
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