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

Ji Suk Kim, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043913775

Ji Suk Kim, DO is a Student in an Organized Health Care Education/Training Program in Long Beach, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1050 Linden Ave
Long Beach, CA 90813-3321
Phone: (562) 491-9140
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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 2978 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043913775
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023

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