Doctor profile · Federal record
Dr. Ji Eun Kim, PA-C
Physician Assistant · Physician Assistant · Physician Assistant · Physician Assistant · Physician Assistant · Los Angeles, CA
- NPI 1386065092
- Accepts Medicare
- 13 yrs in practice
- Licensed in 5 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 4 locations .
- Primary practice
-
1500 San Pablo St Fl 4
Los Angeles, CA 900335313
(323) 442-7400 - Additional location
-
1222 E Woodland Ave
Barron, WI 548121765
(715) 537-3166 - Additional location
-
4367 Nw American Ln
Lake City, FL 320554828
(386) 758-6094
fax (386) 243-8152 - Additional location
-
200 1St St Sw
Rochester, MN 559050001
(507) 284-2511 - Mailing address
-
Po Box 50938
Los Angeles, CA 900740938
Show 1 more location
Credentials & registration
- NPI registered
- December 2013 — 13 yrs on file
- Profile last updated
- March 19, 2026
- Year of graduation
- 2013 — 13 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (5)
- California #PA67248 · Pennsylvania #MA056549 · Florida #PA9107704 · Minnesota #13716 · Wisconsin #3934
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1386065092. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
59
Distinct HCPCS
1
Medicare allowed
$5,714
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 59 | 49 | $97 |
In context: peer comparison
Among 120 peers in this city , average services per provider: 176. This provider delivers 0.3× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Ji Eun Kim's medical specialty?
Dr. Ji Eun Kim practices Physician Assistant in Los Angeles, CA.
Where does Dr. Ji Eun Kim practice?
Dr. Ji Eun Kim practices at 1500 San Pablo St Fl 4, Los Angeles, CA 900335313. Office phone: 3234427400.
What is Dr. Ji Eun Kim's NPI?
Dr. Ji Eun Kim's National Provider Identifier (NPI) is 1386065092, issued by NPPES.
Does Dr. Ji Eun Kim accept Medicare assignment?
Yes. Dr. Ji Eun Kim accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ji Eun Kim commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.