MEDICARE: SEO HO KIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	10451	GA

General Provider Information

NPI Number	:	1104490093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEO HO KIM

Provider Business Mailing Address
First Line	:	1101 VAN NESS AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-6919
Country	:	US
Telephone Number	:	415-600-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 VAN NESS AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-6919
Country	:	US
Telephone Number	:	415-600-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2021
Last Update Date	:	01/13/2026

Similar Medicare Providers

1528058617 — SEAN ROBERT TOWNSEND MD
Practice Location Address:

1101 VAN NESS AVE
SAN FRANCISCO, CA
94109-6919

Practice Phone: 617-921-3237
Practice Fax: 415-865-4180

1639156326 — DR. AMY HO HUANG MD
Practice Location Address:

1101 VAN NESS AVE FL 3
SAN FRANCISCO, CA
94109-6919

Practice Phone: 415-600-3232
Practice Fax: 415-447-6335

1881646909 — CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES INC
Practice Location Address:

1101 VAN NESS AVE
SAN FRANCISCO, CA
94109-6919

Practice Phone: 415-600-6000
Practice Fax:

1932151941 — ARAVIND MANI MD
Practice Location Address:

1101 VAN NESS AVE DEPT OF
SAN FRANCISCO, CA
94109-6919

Practice Phone: 415-600-6000
Practice Fax:

1972558922 — DR. JEROME A. BARAKOS M.D.
Practice Location Address:

1101 VAN NESS AVE FL 3
SAN FRANCISCO, CA
94109-6919

Practice Phone: 415-600-3232
Practice Fax: 415-447-6335

1962441394 — DR. MAYA D. MEUX M.D.
Practice Location Address:

1101 VAN NESS AVE FL 3
SAN FRANCISCO, CA
94109-6919

Practice Phone: 415-600-3232
Practice Fax: 415-447-6335

Directions to “ SEO HO KIM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.