Active NPIIndividual provider

Dr. Isaac E Kim Jr., MD, PHD

Student in an Organized Health Care Education/Training Program in Palo Alto, California

NPI Number1417742974
Practice location
875 Blake Wilbur Dr, Palo Alto, CA 94304-2205
Fax
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Last updated
April 14, 2025

Isaac Elijah Kim is a Student in an Organized Health Care Education/Training Program based in Palo Alto, CA. Isaac Elijah Kim practices in Palo Alto, CA and has the professional credentials of MD, PHD. The NPI Number for Isaac Elijah Kim is 1417742974. The current practice location address for Isaac Elijah Kim is 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 and can be reached out via phone at 650-724-4750.

Provider Profile Details

NPI Number
1417742974
Provider Name
Isaac Elijah Kim
Credential
MD, PHD
Provider Entity Type
Individual
Gender
Male
Address
875 Blake Wilbur Dr, Palo Alto, CA 94304-2205
Phone Number
650-724-4750
Sole Proprietor
No
Provider Enumeration Date
April 14, 2025
Last Update Date
April 14, 2025
Certification Date
April 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
875 Blake Wilbur Dr
Palo Alto, CA 94304-2205
Zip
94304-2205
Phone Number
650-724-4750
Palo Alto, CA 94304Get directions →

Provider Business Mailing Address Details

Address
90 West St Apt 11H
New York, NY 10006-1067
City
New York
State
NY
Zip
10006-1067

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Isaac E Kim Jr., MD, PHD?

The NPI number of Dr. Isaac E Kim Jr., MD, PHD is 1417742974. It was assigned on April 14, 2025 and is currently active in the NPPES registry.

What is the specialty of Dr. Isaac E Kim Jr., MD, PHD?

Dr. Isaac E Kim Jr., MD, PHD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Dr. Isaac E Kim Jr., MD, PHD practice?

The practice location is 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205. The office can be reached at 650-724-4750 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417742974 directly on the NPPES registry website.

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