NPI

Jae Man Kim

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
O.M.D.
Type
Individual
Enumeration date
2011-07-01
Last updated
2011-07-01

Specialties

Licenses

License CA
3843

Location

Practice location
3409 W Burbank Blvd
City
Burbank CA
Postal code
91505-2233
Phone
(818) 848-1111

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

Check this NPI on the exclusion page

OIG exclusion search

Nearby

Other NPIs in Burbank, CA. 5,220 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

Update a record in NPPES

Run it in Rivvi

Is this you?

Check your listing for a stale address, wrong specialty or deactivation. Free.

Check my listing

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Try it on your own data today.

Free to start. Most teams are using it the same day.