Chin G. Kim, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A34967 Issued in CA

Legal business name

CHIN G. KIM, M.D., INC.

Practice address

3400 W Ball Rd
Suite 208
Anaheim, CA 92804-3738

Phone

(714) 761-0759

Fax

(714) 761-3758

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Chin Goo Kim, M.D.NPI 1295910958

Title

M.D.

Phone

(714) 761-0759

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.

• Chin Goo Kim, M.D.

  • Specialist
  • Anaheim, CA
  • NPI 1295910958
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1689635906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W BALL RD",
            "address_2": "SUITE 208",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043738",
            "telephone_number": "714-761-0759",
            "fax_number": "714-761-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W BALL RD",
            "address_2": "SUITE 208",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043738",
            "telephone_number": "714-761-0759",
            "fax_number": "714-761-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIN G. KIM, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHIN",
        "authorized_official_middle_name": "GOO",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "714-761-0759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A34967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Chiguano
• Dan H Chikami, OD
• Childrens Bureau
• Malkolm D Chiles
• Mishael Moni Chiles
• Stephanie Ann Chin Mammen, PSY.D.
• Chin SE Kim, MD Inc
• Kathleen Alison Chin, MD
• Megan Chin
• Nonelle D Chin, DDS

• Specialist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.