Michael K. Kim, M.D., a Professional Corporation

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

A86558 Issued in CA

Legal business name

MICHAEL K. KIM, M.D., A PROFESSIONAL CORPORATION

Practice address

3801 Katella Ave
Suite 414
Los Alamitos, CA 90720-3338

Phone

(562) 430-6065

Fax

(562) 430-6069

NPI assigned

Jun 12, 2006

Last updated

Apr 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael K. Kim, M.D.NPI 1437198678

Title

President

Phone

(562) 430-6065

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael K Kim, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Los Alamitos, CA
  • NPI 1437198678
  Medicare reassignment NPD Authorized official
• Elisa K. Yoo, M.D.

  • MOHS-Micrographic Surgery Physician
  • Los Alamitos, CA
  • NPI 1811942493
  NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1346282308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "address_2": "SUITE 414",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203338",
            "telephone_number": "562-430-6065",
            "fax_number": "562-430-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "address_2": "SUITE 414",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203338",
            "telephone_number": "562-430-6065",
            "fax_number": "562-430-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K. KIM, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-430-6065",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "A86558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael K. Kim, M.D.
• Michael W. Lauermann, M.D. a Professional Medical Corporation
• Rachel Michell, SLPA
• Michelle H. Reddy M.D., Inc.
• Sean Mickelsen, PA-C
• Keith Eugene Miller, CATC

• Otolaryngology/Facial Plastic Surgery Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.