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

Eric E. Kim, MD

Individual provider Internal Medicine Physician · NPI 1578660916

Eric E. Kim, MD is an Internal Medicine in Clearlake, California. Graduated from Loma Linda University School of Medicine in 1994, 32 years ago. Practices with Lake County Tribal Health Consortium Inc, a 42-clinician group. Licensed in California.

Years since qualifying
32
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2006
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

4456 Manzanita Ave Suite# C
Clearlake, CA 95422-7937
Phone: (707) 994-9191
Fax: (707) 994-9090
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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 A64242 (CA)

Record details

NPI number1578660916
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2010
Mailing addressPo Box 1500, Clearlake, CA 95422-1500

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Lake County Tribal Health Consortium Inc — 42 clinicians
Accepts Medicare assignment Not indicated

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