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

Jasung Kim, MD

Individual provider Psychiatry Physician · NPI 1134235484

Jasung Kim, MD is a Psychiatry in Los Angeles, California. Qualified in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Nebraska.

Years since qualifying
41
Licensed in
CA, NE
In the registry since
2006
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

505 Shatto Pl Ste 204
Los Angeles, CA 90020-1777
Phone: (213) 797-5953
Fax: (888) 550-3121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence C159816 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 21811 (NE)

Record details

NPI number1134235484
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 21, 2006
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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