Dr. Jae Yul Kim
Cardiothoracic Vascular Surgeon
1500 Duarte Rd
Duarte
, California 91010-3012
Dr. Jae Yul Kim
Cardiothoracic Vascular Surgeon
1500 Duarte Rd
Duarte
, California 91010-3012
(626) 775-3514
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jae Yul Kim
- Po Box 512185
- Los Angeles, CA
- Zip : 90051-0185
- Phone : (626) 775-3514
Second Address
- Dr. Jae Yul Kim
- 1500 Duarte Rd
- Duarte, CA
- Zip : 91010-3012
- Phone : (626) 256-4673
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | A85288 | CA |
National Provider Identifier
| NPI | 1023147014 |
|---|---|
| Provider Name | Dr. Jae Yul Kim |
| First Address | Los Angeles, CA 90051-0185 |
| Second Address | Duarte, CA 91010-3012 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2007 |
| Last Update Date | 09/11/2020 |
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.