National Provider Identifier Database

ILKYOON KIM, MD – NPI #1154434728
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

ILKYOON KIM, MD
15666 18TH AVENUE
CLEARLAKE, CA95422
Phone: 707-994-4210
Fax: 707-994-0839
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for ILKYOON KIM

NPI Number 1154434728
Credentials MD
Entity Individual
Enumeration date 08/16/2006
Last updated 06/30/2014 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: A34081
  • CA Medicaid: 00A340810
  • CA Medicaid: 00A340811
  • Other: 68-0068216 BLUE CROSS
  • CA Other: 00A340811 BLUE SHIELD
  • CA Other: 00A340812 BLUE SHIELD
  • CA Other: A34081 LICENSE NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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