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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073743621

Dr. Mark Sung-Kyoung Kim, MD is a Hospitalist in Hawthorne, California. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2009, 17 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and California.

Years since qualifying
17
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
AZ, CA
In the registry since
2009
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

11539 Hawthorne Blvd 6E
Hawthorne, CA 90250-2381
Phone: (310) 675-5370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A120844 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence AU29035993617 (AZ)

Record details

NPI number1073743621
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 16, 2009
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2009 (17 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Hawthorne