Young Rae Kim MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A52615 Issued in CA

Legal business name

YOUNG RAE KIM MD INC

Practice address

3010 W Orange Ave
Ste 407
Anaheim, CA 92804

Phone

(714) 484-3781

Fax

(714) 484-3852

NPI assigned

Feb 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Young Rae Kim, MEDICAL DIRECTOR

Title

President

Phone

(714) 484-3781

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1053448373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 W ORANGE AVE",
            "address_2": "STE 407",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043173",
            "telephone_number": "714-484-3781",
            "fax_number": "714-484-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 W ORANGE AVE",
            "address_2": "STE 407",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804",
            "telephone_number": "714-484-3781",
            "fax_number": "714-484-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG RAE KIM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-484-3781",
        "authorized_official_credential": "MEDICAL DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOA526150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Young Kim DDS
• Young Kim DDS Inc
• Young Kim, DDS, Inc.
• Young Prosthetics Othotics, Inc.
• Young Rae Kim Dental Corp
• Carol Chin Young, PHARM.D.
• Chrisara Marie Young
• Grace Jean Young, MD
• Kaila Young
• Linda Kathryn Young, LMFT

• Internal Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.