# SUZY KIM MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285913012
- **Authorized official:** SUZY KIM MD (PHYSICIAN)
- **Authorized official phone:** (650) 793-6444

## Contact information

- **Practice address:** 2767 EAST IMPERIAL HIGHWAY, ST. JUDE CENTER FOR REHABILITATION & WELLNESS, BREA, CA 92821
- **Practice address phone:** (714) 578-8720
- **Practice address fax:** (714) 578-8713
- **Mailing address:** 5 JOURNEY STE 210, ALISO VIEJO, CA 92656-5332
- **Mailing address phone:** (949) 305-7122
- **Mailing address fax:** (949) 305-7160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | NULL | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | A86559 | CA | — |

## Other

- **Enumeration date:** 08/10/2011
- **Last updated:** 09/21/2023