Won Kim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

57.007550 Issued in OH

Practice address

2100 S Euclid St Ste 102
Anaheim, CA 92802-4572

Phone

(714) 638-1347

NPI assigned

May 10, 2007

Last updated

Dec 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grace Family Medical Center, Inc.

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1861707986
  Authorized official Same address or phone

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1225242878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S EUCLID ST STE 102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928024572",
            "telephone_number": "714-638-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S EUCLID ST STE 102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928024572",
            "telephone_number": "714-638-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "WON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.007550",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "57.007550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soomin Kim, MD
• Stephanie Kim
• Stephanie Kim
• Tae Sun Kim, PHD
• Theresa H Kim, D.D.S.
• Wonae Kim, FNP
• Wooshil E Kim, L.AC
• Yejoio Kim
• Yen Tse Kim, DNP, FNP, AGNP, BSN
• Yenah Kim

• 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 Dec 23, 2010; 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.