Kwang Sook Kim in Garden Grove - General Practice
Kwang Sook Kim - NPI 1285725051
Kwang Sook Kim is a General Practice in Garden Grove, California. Kwang Sook Kim practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kwang Sook Kim is 1285725051. The last update date is 2011-09-30.
Kwang Sook Kim's current location address is 9636 Garden Grove Blvd # 16, Garden Grove, California. You can contact this provider via phone number 7142901657 and fax number 5624044323. The mailing address for Kwang Sook Kim is 9636 Garden Grove Blvd # 16, Garden Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kwang Sook Kim |
|---|---|
| Address | 9636 Garden Grove Blvd # 16, Garden Grove, California |
| Phone Number | 7142901657 |
| Fax Number | 5624044323 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285725051 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2011-09-30 |
Provider Mailing Address Detail
| Address | 9636 Garden Grove Blvd # 16 |
|---|---|
| City | Garden Grove |
| State | California (CA) |
| Post Code | 928441530 |
| Phone Number | 7142901657 |
| Fax Number | 5624044323 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | A37552 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A375520 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kwang Sook Kim by the Centers for Medicare & Medicaid Services (CMS)?
The Kwang Sook Kim has been assigned the NPI (National Provider Identifier) 1285725051. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Kwang Sook Kim is physically located?
The Kwang Sook Kim is situated at the following address: 9636 Garden Grove Blvd # 16, Garden Grove, CA 928441530.
What is Kwang Sook Kim's area of expertise and its corresponding taxonomy classification?
The Kwang Sook Kim's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1285725051 to Kwang Sook Kim?
The Centers for Medicare & Medicaid Services assigned the 1285725051 to Kwang Sook Kim on 2006-09-27.
As of what date were the details pertaining to Kwang Sook Kim last refreshed?
The information related to the Kwang Sook Kim, including its address, specialty, and other relevant details, was last updated on 2011-09-30.