Organization
BETHESDA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HONG S KIM MD (PRESIDNET /MD)
(714) 530-3740
Entity
Organization
Contact information
Practice address
12665 GARDEN GROVE BLVD STE 503, GARDEN GROVE, CA 92843-1919
(714) 530-3740
Mailing address
12665 GARDEN GROVE BLVD STE 503, GARDEN GROVE, CA 92843-1919
(714) 530-3740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396727764
NPI
CA
Enumeration date
11/17/2021
Last updated
11/17/2021
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