Active NPI
Hyung O. Kim, M. D. Inc
- Obstetrics & Gynecology Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A35664
- Legal business name
- HYUNG O. KIM, M. D. INC
- Doing business as
- Hyung O. Kim, M. D. Inc
- Practice address
- 2621 S Bristol St
Suite 300-302
Santa Ana, CA 92704-5766 - Phone
- (714) 540-7720
- Fax
- (714) 540-5690
- NPI assigned
- Nov 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hyung O Kim, M. D.
- Title
- Owner
- Phone
- (714) 540-7720
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A35664 | CA | Primary |
Addresses
Primary practice location
2621 S Bristol St
Suite 300-302
Santa Ana, CA 92704-5766
Mailing address
2621 S Bristol St
Suite 300-302
Santa Ana, CA 92704-5766
Phone (714) 540-7720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710921440 | Medicaid | CA |
Other names 1
- HYUNG O. KIM, M. D. INC
National Provider Directory
National Provider DirectoryLocations
2621 S Bristol St
Ste 300302
Santa Ana, CA 92704
Phone (714) 540-7720
Practitioners & affiliated clinicians
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.
-
- Obstetrics & Gynecology Physician
- Santa Ana, CA
- NPI 1710921440
-
- Internal Medicine Physician
- Fountain Valley, CA
- NPI 1043217359
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479859200000",
"number": "1518400795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 S BRISTOL ST",
"address_2": "SUITE 300-302",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045766",
"telephone_number": "714-540-7720",
"fax_number": "714-540-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 S BRISTOL ST",
"address_2": "SUITE 300-302",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045766",
"telephone_number": "714-540-7720",
"fax_number": "714-540-5690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HYUNG O. KIM, M. D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-21",
"last_updated": "2016-11-23",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "HYUNG",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-540-7720",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A35664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710921440",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HYUNG O. KIM, M. D. INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.