Yong Ho Kim, M.D., Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A33665 Issued in CA

Legal business name

YONG HO KIM, M.D., INC

Practice address

3340 W Ball Rd
Suite H
Anaheim, CA 92804-3729

Phone

(714) 952-9413

Fax

(714) 952-8581

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Yong Ho Kim, M.D.

Title

President

Phone

(714) 952-9413

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1316970874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 W BALL RD",
            "address_2": "SUITE H",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043729",
            "telephone_number": "714-952-9413",
            "fax_number": "714-952-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 W BALL RD",
            "address_2": "SUITE H",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043729",
            "telephone_number": "714-952-9413",
            "fax_number": "714-952-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONG HO KIM, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "HO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-952-9413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A33665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A336650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Stephen Yip, M.D.
• Yonathan Yitref
• Kanaea Michell Kaylee Yogue
• Kristen Yokoyama
• Yong and Kim Dental Corp.
• Yong-Kyoo Koh, M.D., Inc.
• Heather May Isbell Yong, M.D.
• Richard Jung Yong, D.D.S.
• Byung Un Yoo, DDS
• Dubitnara Christine Yoo

• Primary Care Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.