Organization
CHARLES KIM MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HYE YOUNG SUNG (MEDICAL BILLING)
(949) 527-9009
Entity
Organization
Contact information
Practice address
39717 CAMINO MISTRAL, INDIO, CA 92203-4361
(497) 749-9994
(442) 268-1717
Mailing address
2670 N MAIN ST STE 100, SANTA ANA, CA 92705-6639
(949) 527-9009
(442) 268-1717
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
12/05/2024
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