Individual
HONG SIK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12665 GARDEN GROVE BLVD, SUITE 503, GARDEN GROVE, CA 92843-1901
(714) 530-3740
(714) 530-0582
Mailing address
12665 GARDEN GROVE BLVD, SUITE 503, GARDEN GROVE, CA 92843-1901
(714) 530-3740
(714) 530-0582
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A45579
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A455792
—
CA
01
—
A455792
PRIVATE INSURANCES
CA
Enumeration date
11/18/2005
Last updated
11/07/2013
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