Jenny Miyon Kim
Pediatrician Pediatric Hematology-Oncologist
3010 Childrens Way 2-West
San Diego
, California 92123-4223
Jenny Miyon Kim
Pediatrician Pediatric Hematology-Oncologist
3010 Childrens Way 2-West
San Diego
, California 92123-4223
(858) 309-6301
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About
Features
Specialties
- Pediatrician
- Pediatric Hematology-Oncologist
Languages spoken
- English
Location
First Address
- Jenny Miyon Kim
- 3860 Calle Fortunada Suite 210
- San Diego, CA
- Zip : 92123-4800
- Fax : (858) 309-6301
- Phone : (858) 309-6303
Second Address
- Jenny Miyon Kim
- 3010 Childrens Way 2-West
- San Diego, CA
- Zip : 92123-4223
- Phone : (858) 966-5811
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | A80257 | CA |
| Y | 2080P0207X | Pediatric Hematology-Oncologist | A80257 | CA |
National Provider Identifier
| NPI | 1255402012 |
|---|---|
| Provider Name | Jenny Miyon Kim |
| First Address | San Diego, CA 92123-4800 |
| Second Address | San Diego, CA 92123-4223 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2006 |
| Last Update Date | 30/08/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A802570 | (05) | 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.