Active NPI
Paul Kim MD Inc.
- Interventional Pain Medicine Physician
- Anaheim, CA
National Provider Identifier
1700387347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- A135423
- Legal business name
- PAUL KIM MD INC.
- Practice address
- 1771 W Romneya Dr Ste H
Anaheim, CA 92801-1817 - Phone
- (714) 520-0809
- NPI assigned
- Feb 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Sanghun Kim, MD
- Title
- Director
- Phone
- (714) 814-8685
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A135423 | CA | |
| Pain Medicine Physician | 208VP0000X | A135423 | CA | |
| Interventional Pain Medicine Physician | 208VP0014X | A135423 | CA | Primary |
Addresses
Primary practice location
1771 W Romneya Dr Ste H
Anaheim, CA 92801-1817
Mailing address
1771 W Romneya Dr Ste H
Anaheim, CA 92801-1817
National Provider Directory
National Provider DirectoryLocations
1771 W Romneya Dr
Ste H
Anaheim, CA 92801
Phone (562) 583-2250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519689600000",
"number": "1700387347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1771 W ROMNEYA DR STE H",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 W ROMNEYA DR STE H",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011817",
"telephone_number": "714-520-0809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL KIM MD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-27",
"last_updated": "2018-02-27",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "SANGHUN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "714-814-8685",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A135423",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "A135423",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "A135423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.