Bernard Kim, DC, BSC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

33963 Issued in CA

Practice address

1431 Warner Ave Ste D
Tustin, CA 92780-6444

Phone

(714) 258-7116

Fax

(714) 258-8474

NPI assigned

Aug 25, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1942727409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 OLD NEWPORT BLVD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634135",
            "telephone_number": "408-627-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 WARNER AVE STE D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806444",
            "telephone_number": "714-258-7116",
            "fax_number": "714-258-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "DC, BSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-25",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "33963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monique Kim-Nomura
• Brian Kim, DDS
• Brian Byoungsoo Kim, MPT
• Charles Chol Bae Kim, MD
• David Sang Pum Kim, MD
• Dio D Kim, D.C., L. AC.

• Rehabilitation Chiropractor in Tustin, CA
• Providers in Tustin, CA by specialty
• Rehabilitation Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; 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.