# DR. CHIN SE KIM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1477564607
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | A46079 | CA | Yes |
| 207R00000X | Internal Medicine Physician | A46079 | CA | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | A46079 | CA | — |
| 208VP0000X | Pain Medicine Physician | A46079 | CA | — |

## Other

- **Enumeration date:** 08/11/2006
- **Last updated:** 05/05/2008