OrganizationActive
Jiensup Kim MD a Professional Corporation
NPI 1306183835 · Specialist · Colton, CA
Jiensup Kim MD a Professional Corporation is a Specialist organization in Colton, CA (NPI 1306183835).
Provider details
- NPI number
- 1306183835
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jiensup Kim, President(909) 370-0300
- License
- G75806 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
900 E Washington St
Suite 100a
Colton, CA 92324-4120
Phone: (909) 370-0300
Fax: (909) 370-0303
Street-level locationGet directions
Mailing address
900 E Washington St
Colton, CA 92324-4120
Other names (DBA / former)
- Doing business as
- Mission Medical
Registry dates
- Enumerated
- 2013-01-03
- Last updated
- 2013-02-20
Frequently asked questions
- What is Jiensup Kim MD a Professional Corporation's NPI number?
- Jiensup Kim MD a Professional Corporation's National Provider Identifier (NPI) is 1306183835, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jiensup Kim MD a Professional Corporation?
- Jiensup Kim MD a Professional Corporation is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Jiensup Kim MD a Professional Corporation located?
- Jiensup Kim MD a Professional Corporation's practice location on file with NPPES is 900 E Washington St, Colton, CA 92324-4120.
- What is Jiensup Kim MD a Professional Corporation's phone number?
- The practice phone number listed in the NPPES registry for Jiensup Kim MD a Professional Corporation is (909) 370-0300.
- Who is the authorized official for Jiensup Kim MD a Professional Corporation?
- The authorized official listed on Jiensup Kim MD a Professional Corporation's NPPES record is Jiensup Kim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jiensup Kim MD a Professional Corporation's NPI active?
- Yes — Jiensup Kim MD a Professional Corporation's NPI (1306183835) is active in the NPPES registry as of the last update on 2013-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.