Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerry Kim MD Inc

Organization Surgery Physician · NPI 1093452278

Jerry Kim MD Inc is a Surgery Physician in Pomona, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

350 Vinton Ave Ste 202
Pomona, CA 91767-3000
Phone: (909) 973-1148
Fax: (909) 363-4954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1093452278
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Kim — Owner · (818) 913-2393
NPI enumeratedMay 18, 2022
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023
Mailing address2625 Roadrunner Dr, La Verne, CA 91750-2350

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