HONG SIK KIM (NPI# 1396727764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396727764 |
| Entity Type | Individual |
| Full Name | HONG SIK KIM |
| Credential | M.D. |
| Practice Address |
12665 Garden Grove Blvd Suite 503 Garden Grove CA 92843-1901 |
| Practice Telephone | 7145303740 |
| Practice Fax Number | 7145300582 |
| Mailing Telephone | 7145303740 |
| Mailing Fax Number | 7145300582 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2013-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
A45579 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A455792 | 05 | |
| CA | PRIVATE INSURANCES | A455792 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964680 | Hong Il Kim | Dentist | 610 South Havard Blvd, 101, Los Angeles, CA 90005 | 2020-02-13 |
| 1114105491 | Hong C Kim | Physical Therapist | 992 S De Anza Blvd, Suite 103, San Jose, CA 95129-2777 | 2008-02-08 |
| 1285650275 | Hong Ku Kim | Dentist | 2379 E Colorado Blvd, Pasadena, CA 91107-4263 | 2006-07-14 |
| 1265050249 | Hong Chul Kim | Student in an Organized Health Care Education/Training Program | 8811 S Tacoma Way Ste 106, Lakewood, WA 98499-4595 | 2020-07-07 |
| 1093205676 | Hong Kim | Registered Nurse | 10 Schriever Ln, New City, NY 10956-3314 | 2018-05-18 |
| 1992959316 | Hong J Kim | Acupuncturist | 3733 Rosemead Blvd, Suite 105, Rosemead, CA 91770-1981 | 2008-11-12 |
| 1356541957 | Hong Kyu Kim | Emergency Medicine | 110 S Paca St, 6th Floor, Suite 200, Baltimore, MD 21201-1642 | 2007-07-20 |
| 1649317793 | Hong Kee Kim | Anesthesiology | 350 S Oak Ave, Oakdale, CA 95361-3519 | 2007-01-30 |
| 1831278530 | Hong Gi Kim | Obstetrics & Gynecology | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-03 |
| 1942384128 | Hong Suk Kim | Emergency Medicine | 622 W 168 Street, Ph 1 137 Columbia University Med Center, New York, NY 10032-3784 | 2006-10-25 |
| Street Address |
12665 GARDEN GROVE BLVD SUITE 503 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92843-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688572 | Douglas George Clark | Internal Medicine | 12665 Garden Grove Blvd, Suite 301, Garden Grove, CA 92843-1901 | 2005-06-09 |
| 1467980854 | Jonathan S Warnelo | Internal Medicine | 12665 Garden Grove Blvd, #502, Garden Grove, CA 92843-1904 | 2017-05-30 |
| 1538518444 | Peter H. Dang, Dds, Inc. | Dentist | 12665 Garden Grove Blvd, #208, Garden Grove, CA 92843-1901 | 2016-06-10 |
| 1538529185 | Negin Behazin Md, A Med Corp | General Practice | 12665 Garden Grove Blvd, Suite 710, Garden Grove, CA 92843-1901 | 2016-02-24 |
| 1922467299 | Shieun Hong | Nurse Practitioner | 12665 Garden Grove Blvd, #503, Garden Grove, CA 92843-1901 | 2016-02-16 |
| 1427416841 | Vivien T Thach | Nurse Practitioner | 12665 Garden Grove Blvd, 502a, Garden Grove, CA 92843-1901 | 2016-01-29 |
| 1588033773 | Dr. Grace Guimei Yao, A Professional Corporation | Specialist | 12665 Garden Grove Blvd, Suite 600, Garden Grove, CA 92843 | 2015-09-18 |
| 1952781932 | Ali Fouladi, M.d., Inc. | Surgery | 12665 Garden Grove Blvd, #502, Garden Grove, CA 92843-1901 | 2015-06-04 |
| 1346637352 | Crystal Tong | Optometrist | 12665 Garden Grove Blvd, Ste 301, Garden Grove, CA 92843-1901 | 2015-04-17 |
| 1114319621 | Select Multi Specialty Medical Care | Clinical Medical Laboratory | 12665 Garden Grove Blvd, 203, Garden Grove, CA 92843-1901 | 2015-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346759024 | Elite Wellness Chiropractic Center | Clinic/Center | 13125 Brookhurst St, Garden Grove, CA 92843 | 2017-09-25 |
| 1407375520 | Leontina Balos | Assisted Living Facility | 10452 Mildred Avenue, Garden Grove, CA 92843 | 2017-09-11 |
| 1548788235 | Lanson Tt Corp | Pharmacy | 14211 Euclid St Ste A, Garden Grove, CA 92843 | 2017-09-01 |
| 1598285512 | Ernest Youngchan Rhee | Acupuncturist | 12555 Garden Grove Blvd., Ste 505, Garden Grove, CA 92843 | 2017-06-21 |
| 1336681253 | Shane Hiromu Koga | Chiropractor | 13311 Garden Grove Blvd Suite B, Garden Grove, CA 92843 | 2016-11-09 |
| 1023461456 | Kelly Chau Quach | Counselor | 14411 Brookhurst St Ste D & E, Garden Grove, CA 92843 | 2016-07-21 |
| 1922484385 | Terry Chang | Counselor | 12800 Garden Grove Blvd. Ste. F, Garden Grove, CA 92843 | 2015-08-07 |
| 1942687132 | Sara Smith | Counselor | 11277 Garden Grove Blvd., Suite 100, Garden Grove, CA 92843 | 2015-04-27 |
| 1063848232 | Nexgen Chiropractic Inc | Chiropractor | 12832 Garden Grove Blvd A, Garden Grove, CA 92843 | 2013-09-19 |
| 1023369824 | American Medical Diagnostic Lab Inc. | Clinical Medical Laboratory | 12665 Garden Grove Blvd #111, Garden Grove, CA 92843 | 2012-09-20 |
| Find all providers in zip 92843 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245421353 | Hong S. Kim, M.d., Inc | Internal Medicine | 12665 Garden Grove Blvd Ste 503, Garden Grove, CA 92843-1919 | 2007-08-05 |
| 1508885625 | Thanh Minh Nguyen | Internal Medicine | 8919 Westminster Ave, Garden Grove, CA 92844-2609 | 2006-07-19 |
| 1558326694 | Dae-choong Kim | Internal Medicine | 8862 Garden Grove Blvd, 102, Garden Grove, CA 92844-1262 | 2006-04-20 |
| 1902875693 | Herbert S. Tiquia | Internal Medicine | 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843-1916 | 2006-03-15 |
| 1619964368 | Minh Canh Do | Internal Medicine | 14441 Brookhurst St, Ste 6, Garden Grove, CA 92843-4646 | 2005-09-28 |
| 1952302564 | An Quoc Dang | Internal Medicine | 13872 Harbor Blvd, Unit 1c, Garden Grove, CA 92843-4000 | 2005-08-04 |
| 1780835447 | Sridhar Kadumpalli Reddy | Internal Medicine | 12665 Garden Grove Blvd Ste 211, Garden Grove, CA 92843-1916 | 2008-09-30 |
| 1336316264 | Jason J Pang Md Inc | Internal Medicine | 11039 Acacia Pkwy, Garden Grove, CA 92840-5126 | 2008-05-09 |
| 1346420783 | Orange County Vascular Access, A Medical Corporation | Internal Medicine | 12555 Garden Grove Blvd, Ste 200, Garden Grove, CA 92843-1902 | 2007-11-13 |
| 1205934783 | Southern California Kidney Consultants Inc. | Internal Medicine | 12665 Garden Grove Blvd, Ste 211, Garden Grove, CA 92843-1901 | 2006-09-20 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92843 |
Please comment or provide details below to improve the information on HONG SIK KIM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.