Healthcare Provider Details

I. General information

NPI: 1023204211
Provider Name (Legal Business Name): JIN-HWA SIMON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JIN-HWA RHEE M.D.

II. Dates (important events)

Enumeration Date: 09/20/2007
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9454 WILSHIRE BLVD STE 510
BEVERLY HILLS CA
90212-2904
US

IV. Provider business mailing address

9454 WILSHIRE BLVD STE 510
BEVERLY HILLS CA
90212-2904
US

V. Phone/Fax

Practice location:
  • Phone: 310-299-7645
  • Fax: 310-299-7662
Mailing address:
  • Phone: 310-299-7645
  • Fax: 310-299-7662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA99912
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA99912
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: