# CHARLES KIM MD INC

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

## Provider details

- **NPI number:** 1780237313
- **Authorized official:** HYE YOUNG SUNG (MEDICAL BILLING)
- **Authorized official phone:** (949) 527-9009

## Contact information

- **Practice address:** 39717 CAMINO MISTRAL, INDIO, CA 92203-4361
- **Practice address phone:** (497) 749-9994
- **Practice address fax:** (442) 268-1717
- **Mailing address:** 2670 N MAIN ST STE 100, SANTA ANA, CA 92705-6639
- **Mailing address phone:** (949) 527-9009
- **Mailing address fax:** (442) 268-1717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2019
- **Last updated:** 12/05/2024