Organization
SUZY KIM MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZY KIM MD (PHYSICIAN)
(650) 793-6444
Entity
Organization
Contact information
Practice address
2767 EAST IMPERIAL HIGHWAY, ST. JUDE CENTER FOR REHABILITATION & WELLNESS, BREA, CA 92821
(714) 578-8720
(714) 578-8713
Mailing address
5 JOURNEY STE 210, ALISO VIEJO, CA 92656-5332
(949) 305-7122
(949) 305-7160
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
261QR0400X
Rehabilitation Clinic/Center
A86559
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A865590
—
CA
Enumeration date
08/10/2011
Last updated
09/21/2023
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