Daniel R Kim MD Inc

Primary specialty

Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X

Legal business name

DANIEL R KIM MD INC

Practice address

1736 W Medical Center Dr Ste B
Anaheim, CA 92801-1854

Phone

(323) 409-7556

NPI assigned

Mar 12, 2024

Organization subpart

No

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

Authorized official

Name

Daniel Rhee Kim, MDNPI 1568099646

Title

Ceo

Phone

(323) 409-7556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Daniel Rhee Kim, MD

  • Sports Medicine (Internal Medicine) Physician
  • Anaheim, CA
  • NPI 1568099646
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1669230769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 W MEDICAL CENTER DR STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 W MEDICAL CENTER DR STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011854",
            "telephone_number": "323-409-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R KIM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RHEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-409-7556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thaohan Dang
• Thu A Dang, PHARM. D.
• Trung Huu-Hoai Dang, MD
• Daniel K. Kim, DDS, Inc
• Daniel K. Kim, DDS, Inc
• Breanna Roxanne Daniels
• Dasi Daniels
• Jeevan S. Daniels, DO
• Kimberly Daniels
• Kimmeoashay Daniels

• Sports Medicine (Internal Medicine) Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Sports Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.