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Jerry Byungho Kim

  • Male

Medical Specialty

Professional ID

  • NPI: 1548276777
  • PECOS ID: 3375518079
  • Enrollment ID: I20040826001156
  • Credential(MD, DO, DPM): MD
  • Medical School: Rush Medical College Of Rush University
  • Medical School Graduation Year: 2001

Hospital Service

  • Hospital CCN1: 050348
  • Business Name (LBN)1: University Of California Irvine Med Center

Medical Practices

  • Organization Name: Regents Of The University Of California
  • Group Practice ID assigned by PECOS: 7517869605
  • Number of Group Practice member: 27

Location

  • Address1: 101 The City Dr S
  • Address2:
  • City: Orange
  • State: California
  • Zip Code: 92868
  • Phone Number: (714)456-7004

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):