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

Stacey Kim, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1114123171

Stacey Kim, MD is a Pathology in Los Angeles, California. Graduated from University of Texas Southwestern Medical School at Dallas in 2007, 19 years ago. Practices with Alameda Health System, a 601-clinician group and accepts Medicare assignment. Licensed in California and Rhode Island.

Years since qualifying
19
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
CA, RI
In the registry since
2007
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

8700 Beverly Blvd South Tower Rm 8709
Los Angeles, CA 90048
Phone: (310) 423-6941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 115491 (CA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence LP01253 (RI)

Record details

NPI number1114123171
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 26, 2007
Last updated in NPPESJuly 20, 2011

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2007 (19 years in practice)
Group practice Alameda Health System — 601 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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