# EDWARD T KIM MD PC

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

## Provider details

- **NPI number:** 1710842422
- **Authorized official:** EDWARD T KIM MD (OWNER)
- **Authorized official phone:** (630) 248-5539

## Contact information

- **Practice address:** 400 NEWPORT CENTER DR STE 704, NEWPORT BEACH, CA 92660-8603
- **Practice address phone:** (949) 785-6300
- **Practice address fax:** (949) 785-6300
- **Mailing address:** 400 NEWPORT CENTER DR STE 704, NEWPORT BEACH, CA 92660-8603
- **Mailing address phone:** (949) 785-6300
- **Mailing address fax:** (877) 682-2155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2025
- **Last updated:** 03/23/2026