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

Song Jin Sophie Kim, PA

Individual provider Physician Assistant · NPI 1336380203

Song Jin Sophie Kim, PA is a Physician Assistant in Centreville, Virginia. Graduated from Yale University School of Medicine in 2008, 18 years ago. Practices with Derm Associates LLC, a 43-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
18
Trained at
Yale University School of Medicine
Licensed in
VA
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13880 Braddock Rd Ste 301
Centreville, VA 20121-2459
Phone: (703) 222-2773
Fax: (703) 222-6093
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110002960 (VA)

Record details

NPI number1336380203
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 23, 2009
Last updated in NPPESFebruary 12, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Derm Associates Llc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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