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DONG S. KIM, M.D., INC
NPI 1013027465
Internal Medicine in Moreno Valley, CA

Active since August 30, 2006CLIA 05D0868016 · Waiver
11441 HEACOCK ST, STE. F, MORENO VALLEY, CA 92557(951) 243-8000(951) 243-9707 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dong S. Kim, M.d., Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONG S. KIM, M.D., INC (NPI 1013027465) is a healthcare organization registered as an internal medicine in Moreno Valley, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Dong Soo Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1013027465
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDONG S. KIM, M.D., INC
Location Address11441 HEACOCK ST, STE. FMoreno Valley, CA 92557-7907
Mailing Address11441 Heacock St, Ste. FMoreno Valley, CA 92557-7907 · (951) 243-8000 · Fax (951) 243-9707
Phone(951) 243-8000
Fax(951) 243-9707
Organization SubpartNo
Authorized OfficialDong Soo KimOwner · (951) 243-8000
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 26, 2015
✔ NPI 1013027465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A48273
Definition
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.
11441 HEACOCK ST, Moreno Valley, CA 92557
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Other Identifiers 4

Medicaid1013027465CA
OtherA48273CA · Licence
Medicare UPINE91494CA
Medicare PINBR903ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0868016

Dong S Kim MD · Moreno Valley, CA
Active · expires Aug 31, 2026
CLIA Number05D0868016
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDong S. Kim MD
Laboratory Phone(951) 243-8000
Laboratory LocationDong S Kim MD11441 Heacock St Ste F, Moreno Valley, CA 92557
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VISITH PRIROMPRINTR MD
Obstetrics & Gynecology
11441 HEACOCK ST, SUITE B1
MORENO VALLEY, CA 92557
Riverside County (951) 924-1906
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Pediatrics
11441 HEACOCK ST, SUITE C
MORENO VALLEY, CA 92557
Riverside County (951) 247-5809
DR. JEFFREY TAYLOR OLSON M.D.
Internal Medicine
11441 HEACOCK ST, SUITE C
MORENO VALLEY, CA 92557
Riverside County (951) 247-5809
BOG RYUL LEE L.A.C
Acupuncturist
11441 HEACOCK ST, SUITE #B2
MORENO VALLEY, CA 92557
Riverside County (951) 571-0075
SHREEJI HEALTHCARE INC
Pharmacy (Community/Retail Pharmacy)
11441 HEACOCK ST
MORENO VALLEY, CA 92557
Riverside County (909) 360-8352
ASPEN MEDICAL GROUP, INC.
Obstetrics & Gynecology
11441 HEACOCK ST, SUITE B-1
MORENO VALLEY, CA 92557
Riverside County (951) 924-1906
CDA CLINICAL PHARMACY CORPORATION
Pharmacy (Community/Retail Pharmacy)
11441 HEACOCK ST, STE D
MORENO VALLEY, CA 92557
Riverside County (951) 242-2540
ONE ACUPUNCTURE CLINIC INC
Acupuncturist
11441 HEACOCK ST, STE B2
MORENO VALLEY, CA 92557
Riverside County (951) 601-0420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dong S. Kim, M.D., Inc's NPI number?

The NPI number for Dong S. Kim, M.D., Inc is 1013027465. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Dong S. Kim, M.D., Inc located?

Dong S. Kim, M.D., Inc is located at 11441 Heacock St Ste. F, Moreno Valley, CA 92557. The listed phone number is (951) 243-8000.

What is Dong S. Kim, M.D., Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Dong S. Kim, M.D., Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0868016) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dong S. Kim, M.D., Inc was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.