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CHIN SE KIM MD INC NPI 1356671861


NPI Information

NPI: 1356671861
Provider Name: CHIN SE KIM, MD INC

Doing Business As: MERIDIAN SPORTS MEDICINE & PAIN CLINIC

Classification: Pain Medicine - 208VP0000X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 05D2084686

Address:
1736 W MEDICAL CENTER DR STE B
ANAHEIM, CA
ZIP 92801
Phone: (714) 520-0809
Get Directions

CHIN SE KIM, MD INC is a pain medicine pain medicine in Anaheim, CA. The provider is pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. CHIN SE KIM, MD INC NPI is 1356671861. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Meridian Sports Medicine & Pain Clinic.

The provider's business location address is:

1736 W MEDICAL CENTER DR STE B
ANAHEIM, CA
ZIP 92801-854
Phone: (714) 520-0809
Fax: (714) 520-0835

The provider's authorized official is Chin Se Kim .
The authorized official title is President and has the following contact phone number (714) 520-0809.

The CLIA number assigned to this NPI record is 05D2084686 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2010 and was last updated on 2/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RS0010XInternal MedicineSports MedicineA46079CALIFORNIANo
2208VP0000XPain MedicinePain MedicineA46079CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E48498MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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