Jason H Kim


Address: 1950 Sunny Crest Dr, Suite 2700, Fullerton, CA 92835-3645

Jason H Kim (NPI# 1225118979, PAC ID# 2961499280) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1225118979
PAC ID by PECOS 2961499280
Professional Enrollment ID I20040428001272
Full Name Jason H Kim
Address 1950 Sunny Crest Dr
Suite 2700
Fullerton
CA 92835-3645
Gender M
Credential MD
Medical School NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1999
Primary Specialty OTOLARYNGOLOGY
Secondary Specialties PLASTIC AND RECONSTRUCTIVE SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050168 ST JUDE MEDICAL CENTER

Other Locations

Address Phone Organization
1950 Sunny Crest Dr, Suite 2700, Fullerton, CA 92835-3645

Organization Information

Office Location

Street Address 1950 SUNNY CREST DR
SUITE 2700
City FULLERTON
State CA
Zip 92835-3645

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Find all physicians in zip 92835

Competitor

Search similar physicians

City FULLERTON
Zip Code 92835
Specialty OTOLARYNGOLOGY
City + Specialty FULLERTON + OTOLARYNGOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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