Jennifer Kim

Internal Medicine in Orange, CA. Individual provider (NPI-1).

NPI number1457001968

StatusActive

Last updated in NPPESJun 3, 2025

Details

NPI: 1457001968
Entity type: Individual (NPI-1)
Name: Jennifer Kim
Sex: Female
Sole proprietor: No
Enumeration date: Mar 27, 2022
Certification date: Jun 3, 2025
Last updated: Jun 3, 2025

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - INTERNAL MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	A187748	CA	Yes

Practice location

101 The City Dr S Ste 400
Orange, CA 92868-3201

Phone 714-456-5691

Mailing address

101 The City Dr S Ste 400
Orange, CA 92868-3201

Phone 714-456-5691

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine Physician providers in Orange, CA

All 224 Internal Medicine Physician providers in Orange · All 15,092 providers in Orange

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