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

Jennie Kim, MD

Individual provider Surgical Critical Care Physician · NPI 1518347988

Jennie Kim, MD is a General Surgery in Los Angeles, California. Qualified in 2015, 11 years ago. Practices with Desert Trauma Surgeons Inc, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
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

2051 Marengo St Rm C5L100
Los Angeles, CA 90033-1352
Phone: (323) 409-8604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4802 10th Ave, Brooklyn, NY 11219-2916 — (718) 283-8000

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence A173096 (CA)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence A173096 (CA)

Record details

NPI number1518347988
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2015
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Desert Trauma Surgeons Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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