| Charles Kim Md Inc | |
|
39717 Camino Mistral Indio CA 92203-4361 | |
| (497) 749-9994 | |
| (442) 268-1717 |
| Full Name | Charles Kim Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 39717 Camino Mistral, Indio, California |
| Authorized Official Name and Position | Hye Young Sung (MEDICAL BILLING) |
| Authorized Official Contact | 9495279009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Kim Md Inc 17622 Armstrong Ave Ste 100 Irvine CA 92614-5728 Ph: (949) 527-9009 | Charles Kim Md Inc 39717 Camino Mistral Indio CA 92203-4361 Ph: (497) 749-9994 |
| NPI Number | 1780237313 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 08/15/2023 |
| Medicare PECOS PAC ID | 9133462823 |
|---|---|
| Medicare Enrollment ID | O20190521001757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780237313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225564818 PECOS PAC ID: 8921374232 Enrollment ID: I20171031002424 |
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