Physician Compare National (NPI:1255438727)

HEALTHCARE PROVIDER: BILL HOON KIM MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1255438727
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082660766
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050324001327
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KIM
	Individual professional last name
Provider First Name	BILL
	Individual professional first name
Provider Middle Name	HOON
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PIH HEALTH PHYSICIANS
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8426951328
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	237
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	12675 LA MIRADA BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201AND401
	Group Practice or individual's line 2 address
City	LA MIRADA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	906382200
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5629037339
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050393
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PIH HOSPITAL - DOWNEY
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	020024
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CENTRAL PENINSULA GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050169
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PRESBYTERIAN INTERCOMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y