Sun Kim Medical Corporation

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A69380 Issued in CA

Legal business name

SUN KIM MEDICAL CORPORATION

Practice address

5832 Beach Blvd Ste 206
Buena Park, CA 90621-2022

Phone

(909) 229-2873

NPI assigned

May 29, 2018

Last updated

May 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sun I Kim, MDNPI 1093738932

Title

President

Phone

(909) 229-2873

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sun Ik Kim, MD

  • Urology Physician
  • San Bernardino, CA
  • NPI 1093738932
  Medicare reassignment Authorized official
• Leonid Izevich Groysman, MD

  • Neurocritical Care Physician
  • Fountain Valley, CA
  • NPI 1104076785
  NPD (past)

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1730670407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 COASTAL CANYON DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926571603",
            "telephone_number": "909-229-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5832 BEACH BLVD STE 206",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212022",
            "telephone_number": "909-229-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN KIM MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-229-2873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A69380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen W Smith Chiropractic Inc (Smith Chiropractic of Buena Park)
• Stephen W. Smith Chiropractic
• Renee Flournoy Stokman, LMFT
• Edward S. Suh, D.M.D.
• Min Kyo Suh
• Justin Sun, OPT
• Sung Hyun Kim, M.D. a Medical Corporation
• Esther Sung, MSN, FNP-C
• Jin Ho Sung, D.D.S.
• Sungjin Kuon DO Medical Corporation

• Urology Physician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.