Organization Active NPI

Paul Kim MD Inc.

  • Interventional Pain Medicine Physician
  • Anaheim, CA
National Provider Identifier
1700387347
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A135423 Issued in CA
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

Updated by the provider on Feb 27, 2018

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X A135423 CA
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X A135423 CA
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.