Dr. In Chang Kim
Rheumatology
800 S Raymond Ave
Pasadena
, California 91105-3229
Dr. In Chang Kim
Rheumatology
800 S Raymond Ave
Pasadena
, California 91105-3229
(626) 795-0356
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. In Chang Kim
- Po Box 90730
- Pasadena, CA
- Zip : 91109-0730
- Fax : (626) 795-0356
- Phone : (626) 795-8051
Second Address
- Dr. In Chang Kim
- 800 S Raymond Ave
- Pasadena, CA
- Zip : 91105-3229
- Fax : (626) 795-0356
- Phone : (626) 795-8051
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | G13589 | CA |
National Provider Identifier
| NPI | 1083601710 |
|---|---|
| Provider Name | Dr. In Chang Kim |
| First Address | Pasadena, CA 91109-0730 |
| Second Address | Pasadena, CA 91105-3229 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2005 |
| Last Update Date | 21/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110227300 | RAIL ROAD MEDICARE (01) | CA |
| A39029 | (02) | CA |
| GQ778Z | MEDICARE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.