Organization
CIVITAS MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KIM-ORDEN MD (OWNER)
(657) 231-8294
Entity
Organization
Contact information
Practice address
18111 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-6728
(657) 231-8294
Mailing address
6230 IRVINE BLVD # 338, IRVINE, CA 92620-2103
(657) 231-8294
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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