Individual provider · Type 1 NPI

Jae Yoon Kim

Foot & Ankle Surgery Podiatrist · South San Francisco, CA

NPI number 1013595107 Active

Practice location

1200 El Camino Real
South San Francisco, CA 94080-3299

Call (650) 742-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X36.004128 (OH)
Podiatric Clinic/Center 261QP1100XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Podiatrist 213E00000X36.004128 (OH)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1013595107

Jae Yoon Kim's National Provider Identifier is 1013595107, issued on Mar 30, 2021. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in South San Francisco, CA. The record was last updated on Sep 30, 2025.