Hyung Oh Kim Sr., MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A35664 Issued in CA

Practice address

2621 S Bristol St
Suite 300-302
Santa Ana, CA 92709

Phone

(714) 540-7720

Fax

(714) 540-5690

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hyung O. Kim, M. D. Inc.

  • Obstetrics & Gynecology Physician
  • Santa Ana, CA
  • NPI 1275953325
  NPD (past) Authorized official

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1710921440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST",
            "address_2": "SUITE 300-302",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92709",
            "telephone_number": "714-540-7720",
            "fax_number": "714-540-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 S BRISTOL ST",
            "address_2": "SUITE 300-302",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92709",
            "telephone_number": "714-540-7720",
            "fax_number": "714-540-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUNG",
        "middle_name": "OH",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A35664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROVIDER NUMBER",
            "identifier": "00A356640",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dylan N/a Kim
• Erin Duri Kim
• Esther Lee Kim, MD
• Helen Kim
• Hyun Soo (Lisa) Kim
• Hyunjoo Kim
• James Anthony Kim, M.D.
• Janet Kim, OTR/L
• Jason Kim, DO
• Jeong Suk Kim, D.D.S., INC

• Obstetrics & Gynecology Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.