Dr Tai-won Kim, MD | |
7212 Orangethorpe Avenue,, Suite 9a, Buena Park, CA 90621-4668 | |
(714) 503-6550 | |
(714) 409-3075 |
Full Name | Dr Tai-won Kim |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 7212 Orangethorpe Avenue,, Buena Park, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487733754 | NPI | - | NPPES |
0330654 | Medicaid | OH | |
1487733754 | Medicaid | CA | |
35037571 | Other | OH | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C50240 (California) | Primary |
207R00000X | Internal Medicine | 37571 (Ohio) | Secondary |
Entity Name | Korean Community Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861525602 PECOS PAC ID: 0446495105 Enrollment ID: O20211118000437 |
Mailing Address | Practice Location Address |
---|---|
Dr Tai-won Kim, MD 451 West Lincoln Avenue, Suite 100, Anaheim, CA 92805-2912 Ph: (714) 503-6550 | Dr Tai-won Kim, MD 7212 Orangethorpe Avenue,, Suite 9a, Buena Park, CA 90621-4668 Ph: (714) 503-6550 |
Soledad O Lee, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 6888 Lincoln Ave, Ste M, Buena Park, CA 90620 Phone: 714-828-8400 Fax: 714-828-0202 | |
Soo Woong Kang, Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 6714 Beach Blvd, Buena Park, CA 90621 Phone: 147-526-7787 | |
Mr. Richard Gonzales, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 8585 Knott Ave, #101, Buena Park, CA 90620 Phone: 714-821-8588 Fax: 714-821-4482 | |
Dr. Felicia Kim Tran, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6301 Beach Blvd Ste 101, Buena Park, CA 90621 Phone: 714-994-5290 Fax: 714-994-8090 | |
Edgardo Gonzalez, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6301 Beach Blvd, Suite 101, Buena Park, CA 90621 Phone: 714-994-5290 Fax: 714-994-8090 | |
Sung Hyun Kim, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7011 Orangethorpe Ave Ste 100, Buena Park, CA 90621 Phone: 714-562-9139 Fax: 213-769-0007 | |
Dr. Paul Soojin Chang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5832 Beach Blvd Unit 214, Buena Park, CA 90621 Phone: 714-523-7575 Fax: 714-523-7585 |