Individual
DR. MOON HYUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-6431
(714) 456-7754
Mailing address
PO BOX 54538, LOS ANGELES, CA 90054-0538
(714) 456-6431
(714) 456-7754
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
C50259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C502590
MEDI-CAL
CA
Enumeration date
04/12/2007
Last updated
07/08/2007
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