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

Jae Kim

Individual provider Internal Medicine Physician · NPI 1619596384

Jae Kim is an Internal Medicine in Los Angeles, California. Graduated from University of Southern California Keck School of Medicine in 2020, 6 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2020
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Practice location Address checks out

1680 E 120th St
Los Angeles, CA 90059-3026
Phone: (424) 338-8000
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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 A183496 (CA)

Record details

NPI number1619596384
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 13, 2020
Last updated in NPPESJanuary 1, 2024
Certification dateJanuary 1, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Los Angeles