# CHIN SE KIM, MD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MERIDIAN SPORTS MEDICINE & PAIN CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356671861
- **Authorized official:** DR. CHIN SE KIM M.D. (PRESIDENT)
- **Authorized official phone:** (714) 520-0809

## Contact information

- **Practice address:** 1736 W MEDICAL CENTER DR STE B, ANAHEIM, CA 92801-1854
- **Practice address phone:** (714) 520-0809
- **Practice address fax:** (714) 520-0835
- **Mailing address:** 1736 W MEDICAL CENTER DR STE B, ANAHEIM, CA 92801-1854
- **Mailing address phone:** (714) 520-0809
- **Mailing address fax:** (714) 520-0835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | A46079 | CA | — |
| 208VP0000X | Pain Medicine Physician | A46079 | CA | Yes |

## Other

- **Enumeration date:** 01/05/2010
- **Last updated:** 02/02/2010