Hoang Kim DO MD Professional Medical Corporation

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A82778 Issued in CA

Legal business name

HOANG KIM DO MD PROFESSIONAL MEDICAL CORPORATION

Practice address

1848 Saratoga Ave
Suite 4a
Saratoga, CA 95070-6612

Phone

(408) 866-9991

NPI assigned

Dec 16, 2010

Organization subpart

No

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

Authorized official

Name

Hoang DO, M.D.NPI 1841332517

Title

Ceo/Plastic Surgeon

Phone

(408) 866-9991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Hoang Kim DO, MD

  • Plastic Surgery Physician
  • Saratoga, CA
  • NPI 1841332517
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1487957270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CAMERON CIR",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1848 SARATOGA AVE",
            "address_2": "SUITE 4A",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950706612",
            "telephone_number": "408-866-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOANG KIM DO MD PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "HOANG",
        "authorized_official_title_or_position": "CEO/PLASTIC SURGEON",
        "authorized_official_telephone_number": "408-866-9991",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A82778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A Herndon, DDS
• Sydney Hesser
• Amanda Lee Heuston
• Brian Keith Higgins, D.D.S.
• Alyssa Hirasawa
• Amarissa Hoffman
• Lee Nicklin Hoglan, O.D,
• Kimberly Hong
• Emily Hsu, PH.D.
• Shanli Hu

• Medical Specialty Clinic/Center in Saratoga, CA
• Providers in Saratoga, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.