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

Individual provider Anesthesiology Physician · NPI 1962865451

Mr. Tae Yeon Kim, MD is an Anesthesiology in West Hollywood, California. Graduated from Morehouse School of Medicine in 2016, 10 years ago. Practices with White Memorial Medical Center, a 66-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and District of Columbia.

Years since qualifying
10
Trained at
Morehouse School of Medicine
Licensed in
CA, DC
In the registry since
2016
Specialties on file
3
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

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone: (310) 423-5841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 900 23rd St Nw, Washington, DC 20037-2342 — (202) 715-4000
  • 111 E 210th St, Bronx, NY 10467-2401 — (718) 696-2583

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A167819 (CA)
Anesthesiology Physician Taxonomy 207L00000X · Licence MTL004447 (DC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962865451
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 1, 2016
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice White Memorial Medical Center — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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