Jenny Miyon Kim

M.D. | Pediatric Hematology-Oncology | Female

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Complete Profile:

Jenny Miyon Kim basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Jenny Miyon Kim
Credential :	M.D.
Gender :	Female

Business Address:

Jenny Miyon Kim address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	3010 Childrens Way, 2-west San Diego, CA, 92123-4223 United States
Phone Number :	858-966-5811

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1255402012
NPI Entity Type :	Individual
First Enrolment Date :	13 Nov, 2006
Last Updated On :	30 Aug, 2011

Medicare Participation:

Jenny Miyon Kim participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5092896985
Medicare Enrollment ID :	I20080116000820
Primary Specialty :	Hematology/oncology
Medical School :	Geisel School Of Medicine At Dartmouth
Graduation Year :	1995
Accepts Medicare?	Yes. Jenny Miyon Kim accepts medicare insurance.

Group Practice Association:

Jenny Miyon Kim is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Jenny Miyon Kim is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Rady Children's Hospital - San Diego	3971677493	120	3010 Children's Way Rady Children's Specialists San Diego, CA - 921234223 Ph: 8585761700	Yes
Rady Children's Hospital - San Diego	3971677493	120	3020 Childrens Way Mc 5069 Rady Children's Specialists San Diego, CA - 921234223 Ph: 8585761700	Yes
Rady Children's Hospital - San Diego	3971677493	120	3030 Childrens Way San Diego, CA - 921234223	Yes
Rady Children's Hospital - San Diego	3971677493	120	8110 Birmingham Way Bldg 28 Rady Children's Specialists San Diego, CA - 921234223 Ph: 8589664003	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jenny Miyon Kim are as mentioned. Primary taxonomy code for Jenny Miyon Kim, M.D. is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	A80257	CA
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	A80257	CA

Legacy Identifiers:

Other legacy medical identifiers of Jenny Miyon Kim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
00A802570	MEDICAID	CA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3860 Calle Fortunada, Suite 210 San Diego, CA, 92123-4800 United States
Phone Number :	858-309-6303
Fax Number :	858-309-6301

Business Location:

Patients can refer following map for directions to Jenny Miyon Kim practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.