Daniel B. Kim, MD, Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A54020 Issued in CA

Legal business name

DANIEL B. KIM, MD, INC.

Practice address

26732 Crown Valley Pkwy Ste 585
Mission Viejo, CA 92691-6376

Phone

(949) 218-4153

Fax

(949) 218-4157

NPI assigned

Jan 27, 2010

Organization subpart

No

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

Authorized official

Name

Jenny L Gillogly, BA

Title

Billing Manager

Phone

(949) 218-4153

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1700117900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 585",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916376",
            "telephone_number": "949-218-4153",
            "fax_number": "949-218-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 585",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916376",
            "telephone_number": "949-218-4153",
            "fax_number": "949-218-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL B. KIM, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "GILLOGLY",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "949-218-4153",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A54020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Elizabeth Dal Porto-Kujanpaa, DPM
• Noor Dalati
• Kyung Dalsimer, LMFT
• Preston Huy Dang
• Uyen Dang, M.D.
• Danielle K Moul MD Inc Apc
• Lisa Dao, MD
• Phoebe Daoud
• Donna Lynn Darland, MFT
• Rene Christina Darling

• Plastic Surgery Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.