Organization Active NPI

Hyung O. Kim, M. D. Inc

  • Obstetrics & Gynecology Physician
  • Santa Ana, CA
National Provider Identifier
1518400795
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A35664 Issued in CA
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

Updated by the provider on Nov 23, 2016

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.NPI 1710921440
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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1710921440MedicaidCA

Other names 1

  • HYUNG O. KIM, M. D. INC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.