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

Individual provider Otolaryngology Physician · NPI 1043433535

Dr. Ji-Eon Kim, MD is an Otolaryngology in Oakland, California. Graduated from Medical College of Georgia School of Medicine in 2005, 21 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Trained at
Medical College of Georgia School of Medicine
Licensed in
CA
In the registry since
2007
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

280 W Macarthur Blvd
Oakland, CA 94611-5642
Phone: (510) 752-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence A99557 (CA)

Record details

NPI number1043433535
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESDecember 15, 2021

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Also practisesMAXILLOFACIAL SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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