Jessica Nah-hyung Kim

MD | Pediatrics | Female

---

Complete Profile:

Jessica Nah-hyung Kim basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Jessica Nah-hyung Kim
Credential :	MD
Gender :	Female

Business Address:

Jessica Nah-hyung 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 :	1095 Irvine Blvd Tustin, CA, 92780-3526 United States
Phone Number :	714-505-7110

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 :	1477086866
NPI Entity Type :	Individual
First Enrolment Date :	04 Apr, 2017
Last Updated On :	03 Dec, 2021

Medicare Participation:

Jessica Nah-hyung Kim participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4284022039
Medicare Enrollment ID :	I20211027001541
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Nevada School Of Medicine
Graduation Year :	2017
Accepts Medicare?	Yes. Jessica Nah-hyung Kim accepts medicare insurance.

Group Practice Association:

Jessica Nah-hyung 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 Jessica Nah-hyung 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
Providence Medical Foundation	8921993205	1226	1095 Irvine Blvd Tustin, CA - 927803526 Ph: 7145057110	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 Jessica Nah-hyung Kim are as mentioned. Primary taxonomy code for Jessica Nah-hyung Kim, MD is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
207R00000X	Internal Medicine	No	A157835	CA
390200000X	Student in an Organized Health Care Education/Training Program	No
208000000X	Pediatrics	Yes	A157835	CA

Other Practice Locations:

Practice Address	City, State	Phone Number
2501 E CHAPMAN AVE STE 207, ORANGE, CA, 92869-3204 United States	ORANGE, CA	714-628-3230

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

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 :	2501 E Chapman Ave Ste 207 Orange, CA, 92869-3204 United States

Business Location:

Patients can refer following map for directions to Jessica Nah-hyung 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.