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

Individual provider Gastroenterology Physician · NPI 1558715110

Dr. Ki-Yoon Kim, MD is an Internal Medicine in San Diego, California. Graduated from Rutgers New Jersey Medical School in 2016, 10 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
10
Trained at
Rutgers New Jersey Medical School
Licensed in
CA, NY
In the registry since
2016
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

4060 Fourth Ave Ste 240
San Diego, CA 92103
Phone: (619) 291-6064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4094 4th Ave, San Diego, CA 92103-2143 — (619) 515-2545

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence A151164 (CA)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 315245 (NY)

Record details

NPI number1558715110
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2016
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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