Individual provider · Type 1 NPI
Chin Goo Kim, MD
Specialist · Anaheim, CA
NPI number
1295910958
Active
Practice location
3400 W Ball Rd Ste 208
Anaheim, CA 92804-3735
Fax (714) 761-3758
Mailing address
3400 W Ball Rd, Suite 208
Anaheim, CA 92804-3738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | A34967 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1295910958
Chin Goo Kim, MD's National Provider Identifier is 1295910958, issued on Dec 31, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Anaheim, CA. The record was last updated on Dec 7, 2010.