Individual ProviderJohn J. KimInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4950 W Sunset Blvd, Los Angeles, CA 90027-5822(323) 783-4516(323) 537-3151PECOS EnrollmentThis provider is enrolled in PECOS as JOHN KIM.Based on the most recent information from CMS, provider John J. Kim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1669660684Provider TypeIndividualFull NameKim, John J.TitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date10/4/2007Last Updated12/6/2021Contact InformationPractice LocationPractice Address4950 W Sunset Blvd, Los Angeles, CA 90027-5822Phone(323) 783-4516FaxUnlisted FaxMailing LocationMailing Address1974 Saleroso Dr, Rowland Heights, CA 91748-4115Phone(323) 537-3151FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA98654California