DANIEL YOUNGJOO KIM NPI 1558004846

NPI Information

  • NPI: 1558004846
  • Provider Name: DANIEL YOUNGJOO KIM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 27800 MEDICAL CENTER RD STE 220
    MISSION VIEJO, CA
    ZIP 92691
  • Phone: (969) 545-6605

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NPI Details

Daniel Youngjoo Kim is a foot and ankle surgery podiatrist in Mission Viejo, CA with 4 years of experience. Daniel Youngjoo Kim NPI is 1558004846. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2022

The provider's business location address is:

27800 MEDICAL CENTER RD STE 220
MISSION VIEJO, CA
ZIP 92691-408
Phone: (969) 545-6605
Fax: (949) 326-7509

The NPI 1558004846 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/15/2022 and was last updated on 8/22/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryE6150CALIFORNIAYes

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: 11/21/2025

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