Jacqueline Hyo Ju Kim, PHD - Medicare Psychologist in Alhambra, CA

Jacqueline Hyo Ju Kim, PHD is a medicare enrolled "Psychologist" provider in Alhambra, California. Her current practice location is 1141 S Garfield Ave Ste 200, Alhambra, California. You can reach out to her office (for appointments etc.) via phone at (626) 588-2825.

Jacqueline Hyo Ju Kim is licensed to practice in California (license number 32623) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487095501.

Contact Information

Jacqueline Hyo Ju Kim, PHD
1141 S Garfield Ave Ste 200,
Alhambra, CA 91801-4714
(626) 588-2825
Not Available



Healthcare Provider's Profile

Full NameJacqueline Hyo Ju Kim
GenderFemale
SpecialityPsychologist
Location1141 S Garfield Ave Ste 200, Alhambra, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487095501
  • Provider Enumeration Date: 07/17/2013
  • Last Update Date: 06/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9638572233
  • Enrollment ID: I20210720001892

Medical Identifiers

Medical identifiers for Jacqueline Hyo Ju Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487095501NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 32623 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Hyo Ju Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Hyo Ju Kim, PHD
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631

Ph: () -
Jacqueline Hyo Ju Kim, PHD
1141 S Garfield Ave Ste 200,
Alhambra, CA 91801-4714

Ph: (626) 588-2825

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› Verified 6 days ago


Psychologist in Alhambra, CA

Dr. Mark David Hassan, PH.D.
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Phone: 626-458-5444    Fax: 626-458-0679
Michael Wood,
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Phone: 626-458-4561    
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Phone: 626-888-2203    

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