Organization Active NPI

Hyesun Kim, M.D., Inc.

  • General Practice Physician
  • Irvine, CA
National Provider Identifier
1932357340
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A100945 Issued in CA
Legal business name
HYESUN KIM, M.D., INC.
Practice address
62 Corporate Park
Suite 125
Irvine, CA 92606-3122
Phone
(949) 838-7468
NPI assigned
Aug 28, 2008
Last updated
Aug 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Hye Sun Kim, M.D.
Title
President
Phone
(949) 838-7468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A100945 CA Primary

Addresses

Primary practice location

62 Corporate Park
Suite 125
Irvine, CA 92606-3122

Mailing address

62 Corporate Park
Suite 125
Irvine, CA 92606-3122
Phone (949) 838-7468

Other identifiers 1

IdentifierTypeStateIssuer
A100945OtherCACALIFORNIA LICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

62 Corporate Park
Ste 125
Irvine, CA 92606
Phone (949) 838-7468

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1932357340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CORPORATE PARK",
            "address_2": "SUITE 125",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926063122",
            "telephone_number": "949-838-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CORPORATE PARK",
            "address_2": "SUITE 125",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926063122",
            "telephone_number": "949-838-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYESUN KIM, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYE",
        "authorized_official_middle_name": "SUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-838-7468",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A100945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE NUMBER",
            "identifier": "A100945",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.