Individual
DR. CHIN SE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1736 W MEDICAL CENTER DR, SUITE B, ANAHEIM, CA 92801-1854
(714) 520-0809
(714) 520-0835
Mailing address
1736 W MEDICAL CENTER DR, SUITE B, ANAHEIM, CA 92801-1854
(714) 520-0809
(714) 520-0835
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
A46079
CA
207R00000X
Internal Medicine Physician
A46079
CA
207RS0010X
Sports Medicine (Internal Medicine) Physician
A46079
CA
208VP0000X
Pain Medicine Physician
A46079
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A46079
—
CA
Enumeration date
08/11/2006
Last updated
05/05/2008
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