Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAE YOON KIM
Active Sole ProprietorJAE YOON KIM is a Foot & Ankle Surgery Podiatrist healthcare provider located in SOUTH SAN FRANCISCO, California. NPI 1013595107 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · SOUTH SAN FRANCISCO, CA
Registration Details
- NPI Number
- 1013595107
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2021 (5.4127840953668 yrs)
- Last Updated
- Sep 30, 2025
- Licenses
-
36.004128 (OH)36.004128 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 EL CAMINO REALSOUTH SAN FRANCISCO, CA, 940803299Browse CA providers · Browse ZIP 94080
- Phone
- 6507422000
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Podiatric Clinic
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.