Individual provider · Type 1 NPI

Wayne W. Kim, DO

Federally Qualified Health Center (FQHC) · Stanton, CA

NPI number 1619987054 Active

Practice location

12362 Beach Blvd Ste 10
Stanton, CA 90680-3944

Call (714) 248-9500 Map

Fax (714) 622-4943

Other practice locations

  • 144 169th St S Ste A, Spanaway, WA 98387-8242 · (253) 536-2824

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XOP00001562 (WA)
Addiction Medicine (Family Medicine) Physician 207QA0401XOP00001562 (WA)
Community Health Clinic/Center 261QC1500XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

12 other providers at this address

About NPI 1619987054

Wayne W. Kim, DO's National Provider Identifier is 1619987054, issued on Aug 8, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Stanton, CA. The record was last updated on Sep 14, 2022.