Hong S. Kim, MD, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NP95000876 Issued in CA

Legal business name

HONG S. KIM, MD, INC

Practice address

12665 Garden Grove Blvd Ste 503
Garden Grove, CA 92843-1919

Phone

(714) 530-3740

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Hong S. Kim, MDNPI 1396727764

Title

MD/President

Phone

(714) 530-3740

Specialties & licenses 1

Addresses

Tax ID family

Hong S Kim MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hong S. Kim, M.D., Inc

  • Nephrology Physician
  • Garden Grove, CA
  • NPI 1245421353
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hong Sik Kim, M.D.

  • Nephrology Physician
  • Garden Grove, CA
  • NPI 1396727764
  NPD (past) Authorized official

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1336541697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD STE 503",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431919",
            "telephone_number": "714-530-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD STE 503",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431919",
            "telephone_number": "714-530-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONG S. KIM, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HONG",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "714-530-3740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "NP95000876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysta Hollomon
• Janice Holmes
• Marissa Holtorf
• Hong S. Kim MD, Inc
• Hong S. Kim, M.D., Inc
• Hong-an Jan MD Inc
• Cindy Nguyen Hong, FNP-C
• Deborah Hong
• Hee Ok Hong
• James Jong-Ha Hong, D.D.S.

• Skilled Nursing Facility in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.