Ilkyoon Kim MD a Prof Corp
NPI 1659516094 · Exclusive Provider Organization · Clearlake, CA
Ilkyoon Kim MD a Prof Corp is a Exclusive Provider Organization organization in Clearlake, CA (NPI 1659516094).
Provider details
- NPI number
- 1659516094
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Parent organization
- Ilkyoon Kim MD a Prof Corp
- Organization subpart
- Yes
- Authorized official
- Ilkyoon Kim, Ceo(707) 994-4210
- License
- A-34081 (CA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Other names (DBA / former)
- Doing business as
- Same
Registry dates
- Enumerated
- 2008-12-15
- Last updated
- 2013-04-12
Frequently asked questions
- What is Ilkyoon Kim MD a Prof Corp's NPI number?
- Ilkyoon Kim MD a Prof Corp's National Provider Identifier (NPI) is 1659516094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ilkyoon Kim MD a Prof Corp?
- Ilkyoon Kim MD a Prof Corp is classified in the NPPES registry as Exclusive Provider Organization (Managed Care Organizations).
- Where is Ilkyoon Kim MD a Prof Corp located?
- Ilkyoon Kim MD a Prof Corp's practice location on file with NPPES is 15666 18th Ave, Clearlake, CA 95422-9336.
- What is Ilkyoon Kim MD a Prof Corp's phone number?
- The practice phone number listed in the NPPES registry for Ilkyoon Kim MD a Prof Corp is (707) 994-4210.
- Who is the authorized official for Ilkyoon Kim MD a Prof Corp?
- The authorized official listed on Ilkyoon Kim MD a Prof Corp's NPPES record is Ilkyoon Kim, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ilkyoon Kim MD a Prof Corp's NPI active?
- Yes — Ilkyoon Kim MD a Prof Corp's NPI (1659516094) is active in the NPPES registry as of the last update on 2013-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.