Michael J Kim, MD, Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A116203 Issued in CA

Legal business name

MICHAEL J KIM, MD, INC.

Practice address

3500 Barranca Pkwy Ste 130
Irvine, CA 92606-8227

Phone

(949) 552-6266

Fax

(714) 347-1081

NPI assigned

Dec 8, 2017

Organization subpart

No

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

Authorized official

Name

Michael Jinwoo Kim, MD

Title

President

Phone

(562) 774-5597

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1740795079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N TUSTIN AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053807",
            "telephone_number": "714-347-1000",
            "fax_number": "714-347-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BARRANCA PKWY STE 130",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068227",
            "telephone_number": "949-552-6266",
            "fax_number": "714-347-1081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "681 S Parker St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684761",
            "country_code": "US",
            "telephone_number": "714-744-0900",
            "fax_number": "714-347-1081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL J KIM, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JINWOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-774-5597",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A116203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Irvine, CA
• Providers in Irvine, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.