Daniel Young Soon Kim, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G55909 Issued in VT

Practice address

24331 El Toro Rd
Suite 330
Laguna Woods, CA 92637-2752

Phone

(949) 707-1807

Fax

(949) 707-1874

NPI assigned

Feb 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wieler & Sein Medical Group

  • Diagnostic Radiology Physician
  • Santa Ana, CA
  • NPI 1457448789
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528109121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD",
            "address_2": "SUITE 330",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372752",
            "telephone_number": "949-707-1807",
            "fax_number": "949-707-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD",
            "address_2": "SUITE 330",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372752",
            "telephone_number": "949-707-1807",
            "fax_number": "949-707-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DANIEL",
        "middle_name": "YOUNG SOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VT",
            "license": "G55909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Sung Kwan Jeon
• Bryce Alan Johnson, M.D.
• Lawrence Kaminsky, DPM
• Daniel Kenney, PHARM.D.
• Abraham D Kim, M.D.
• Sunghee Kim, N.P.
• Elizabeth Anne Krone, HEARING AID DISPENSE
• Kimberly C Kujawa, PT
• Kunalkumar K. Vyas D.O. a Professional Corporation (OC Eye Care)
• Janis Irene Kurihara, O.D.

• Specialist in Laguna Woods, CA
• Providers in Laguna Woods, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.