Provider Demographics
NPI:1245414846
Name:KIM, HELLEN JUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:HELLEN
Middle Name:JUNG
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1870 WASHINGTON ST
Mailing Address - Street 2:APT 11
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-2956
Mailing Address - Country:US
Mailing Address - Phone:415-359-1880
Mailing Address - Fax:
Practice Address - Street 1:1870 WASHINGTON ST
Practice Address - Street 2:APT 11
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-2956
Practice Address - Country:US
Practice Address - Phone:415-359-1880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98213207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP01339232OtherRAILROAD MEDICARE
CAP01339232OtherRAILROAD MEDICARE