Organization
THE GROUP GASTRO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE H. KIM MD (CEO)
(470) 687-5511
Entity
Organization
Contact information
Practice address
10238 E HAMPTON AVE STE 205, MESA, AZ 85209-3318
(480) 856-8252
(470) 268-9921
Mailing address
PO BOX 1684, QUEEN CREEK, AZ 85142-1837
(480) 856-8252
(470) 268-9921
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
207ZP0101X
Anatomic Pathology Physician
—
—
Other
Enumeration date
10/03/2025
Last updated
06/24/2026
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