Charles Chol Bae Kim (NPI# 1225564818, PAC ID# 8921374232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1225564818 |
| PAC ID by PECOS | 8921374232 |
| Professional Enrollment ID | I20171031002424 |
| Full Name | Charles Chol Bae Kim |
| Organization Legal Name | JONAH MEDICAL GROUP INC |
| Address |
414 S Prospectors Rd Suite B Diamond Bar CA 91765-1615 |
| Phone Number | 9098600606 |
| Gender | M |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 5092992644 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 414 S Prospectors Rd, Suite B, Diamond Bar, CA 91765-1615 | 9098600606 | JONAH MEDICAL GROUP INC |
| Organization Legal Name | JONAH MEDICAL GROUP INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jong G Kim | Obstetrics/gynecology | Jonah Medical Group Inc | 414 S Prospectors Rd, Suite B, Diamond Bar, CA 91765-1615 |
| Edwin Hyun-kyu Choi | Family Medicine | Jonah Medical Group Inc | 15095 Amargosa Rd, Suite 102, Victorville, CA 92394-1875 |
| Street Address |
414 S PROSPECTORS RD SUITE B |
| City | DIAMOND BAR |
| State | CA |
| Zip | 91765-1615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jong G Kim | Obstetrics/gynecology | Jonah Medical Group Inc | 414 S Prospectors Rd, Suite B, Diamond Bar, CA 91765-1615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory S Siegel | Chiropractic | 566 N Diamond Bar Blvd, Diamond Bar, CA 91765-1007 | |
| Mary Jane L Wilson | Nurse Practitioner | Healthcare Partners Affiliates Medical Group | 750 N Diamond Bar Blvd, Suite 100, Diamond Bar, CA 91765-1023 |
| Barbara A Ammon | Psychologist, Clinical | 750 N Diamond Bar Blvd, Suite 204, Diamond Bar, CA 91765-1023 | |
| Yuh-huey Wang | Internal Medicine | 660 N Diamond Bar Blvd, Suite 118, Diamond Bar, CA 91765-1034 | |
| Steve Chan | Internal Medicine | 660 N Diamond Bar Blvd, Suite 118, Diamond Bar, CA 91765-1034 | |
| Jenchen Yang | Cardiovascular Disease (cardiology) | 654 N Diamond Bar Blvd, Diamond Bar, CA 91765-1037 | |
| Donna Lee Mckenzie | Nurse Practitioner | St Joseph Heritage Healthcare | 1514 S Valley Vista, Diamond Bar, CA 91765-1038 |
| Giribala R Patel | Hematology/oncology | St Joseph Heritage Healthcare | 1514 S Valley Vista, Diamond Bar, CA 91765-1038 |
| Aaron Lin | Family Medicine | St Joseph Heritage Healthcare | 1514 S Valley Vista, Diamond Bar, CA 91765-1038 |
| Eugene Byun | Cardiovascular Disease (cardiology) | St Joseph Heritage Healthcare | 1514 S Valley Vista, Diamond Bar, CA 91765-1038 |
| Find all physicians in zip 91765 | |||
| City | DIAMOND BAR |
| Zip Code | 91765 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | DIAMOND BAR + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Charles Chol Bae Kim.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.