Organization
D S KIM MD INC
Active
Other names
Daniel S Kim MD
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL S KIM MD (PRESIDENT)
(714) 636-0343
Entity
Organization
Contact information
Practice address
12601 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1908
(714) 636-0343
(714) 636-0391
Mailing address
PO BOX 788, HEMET, CA 92546-0788
(714) 636-0343
(714) 636-0391
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A24477
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A244770
—
CA
01
—
AX331A
MEDICARE PTAN
CA
01
—
AX331B
MEDCARE PTAN
CA
Enumeration date
05/12/2006
Last updated
04/13/2015
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