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

Taeho Im, MDINC

Individual provider Anesthesiology Physician · NPI 1841203288

Taeho Im, MDINC is an Anesthesiology in Modesto, California. Graduated from Loma Linda University School of Medicine in 1988, 38 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
38
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

1700 Coffee Rd
Modesto, CA 95355
Phone: (209) 526-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence G66753 (CA)

Record details

NPI number1841203288
Entity typeIndividual (Type 1)
GenderMale
Credentials MDINC
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address446 Selby Ln, Livermore, CA 94551-6346

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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