| Kim Medical Group | |
|
2500 Alton Pkwy Suite 108 Irvine CA 92606-5024 | |
| (949) 552-8282 | |
| (949) 552-2215 |
| Full Name | Kim Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2500 Alton Pkwy, Irvine, California |
| Authorized Official Name and Position | Bangsun Justin Kim (PRESIDENT) |
| Authorized Official Contact | 9495528282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Medical Group 2500 Alton Pkwy Suite 108 Irvine CA 92606-5024 Ph: (949) 552-8282 | Kim Medical Group 2500 Alton Pkwy Suite 108 Irvine CA 92606-5024 Ph: (949) 552-8282 |
| NPI Number | 1700072550 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 09/14/2007 |
| Medicare PECOS PAC ID | 9537240247 |
|---|---|
| Medicare Enrollment ID | O20080121000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700072550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bangsun J Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821142167 PECOS PAC ID: 4486568839 Enrollment ID: I20031118001138 |
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