Individual provider · Type 1 NPI

Madison Kim

Physician Assistant · Newport Beach, CA

NPI number 1619833449 Active

Practice location

20271 SW Birch St Ste 100
Newport Beach, CA 92660-1714

Mailing address

1951 E Dyer Rd Unit 362
Santa Ana, CA 92705-5760

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619833449

Madison Kim's National Provider Identifier is 1619833449, issued on Dec 24, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Newport Beach, CA. The record was last updated on Dec 24, 2025.