Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jeffrey Kim-Wayne Gin, MD

Individual provider Family Medicine Physician · NPI 1225140759

Dr. Jeffrey Kim-Wayne Gin, MD is a Family Practice in Covina, California. Qualified in 2003, 23 years ago. Accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
23
Licensed in
AZ, CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

218 W Badillo St
Covina, CA 91723-1906
Phone: (626) 332-6234
Fax: (626) 331-1264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A101609 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35797 (AZ)

Record details

NPI number1225140759
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESFebruary 21, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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