Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
GMPT
Active
Organization
GMPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM DO (AUTHORIZED OFFICIAL)
(714) 283-3242
Entity
Organization
Contact information
Practice address
32302 CAMINO CAPISTRANO, SUITE 107, SAN JUAN CAPISTRANO, CA 92675-4501
(949) 276-8845
Mailing address
32302 CAMINO CAPISTRANO, SUITE 107, SAN JUAN CAPISTRANO, CA 92675-4501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT29580
CA
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up