| Culminate Health, Inc. | |
|
16742 Gothard St Ste 210 Huntington Beach CA 92647-4567 | |
| (714) 406-1887 | |
| Not Available |
| Full Name | Culminate Health, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 16742 Gothard St Ste 210, Huntington Beach, California |
| Authorized Official Name and Position | Samuel Kim (PRESIDENT) |
| Authorized Official Contact | 7143235157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Culminate Health, Inc. 16742 Gothard St Ste 210 Huntington Beach CA 92647-4567 Ph: (714) 406-1887 | Culminate Health, Inc. 16742 Gothard St Ste 210 Huntington Beach CA 92647-4567 Ph: (714) 406-1887 |
| NPI Number | 1780349985 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 11/02/2021 |
| Medicare PECOS PAC ID | 6507236486 |
|---|---|
| Medicare Enrollment ID | O20230111000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780349985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Samuel Sungwon Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023310687 PECOS PAC ID: 3173949344 Enrollment ID: I20201016001702 |
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