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BANGSUN JUSTIN KIM M.D. INC. NPI 1700072550


NPI Information

NPI: 1700072550
Provider Name: BANGSUN JUSTIN KIM M.D., INC.

Doing Business As: KIM MEDICAL GROUP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D1009761

Address:
2500 ALTON PKWY
SUITE 108
IRVINE, CA
ZIP 92606
Phone: (949) 552-8282
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BANGSUN JUSTIN KIM M.D., INC. is an internal medicine in Irvine, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BANGSUN JUSTIN KIM M.D., INC. NPI is 1700072550. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kim Medical Group.

The provider's business location address is:

2500 ALTON PKWY
SUITE 108
IRVINE, CA
ZIP 92606-024
Phone: (949) 552-8282
Fax: (949) 552-2215

The provider's authorized official is Bangsun Justin Kim .
The authorized official title is President and has the following contact phone number (949) 552-8282.

The CLIA number assigned to this NPI record is 05D1009761 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2007 and was last updated on 9/14/2007.


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
1207R00000XInternal MedicineYes

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: 11/14/2023

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