CHARLES KIM MD INC
NPI 1063050193
Family Medicine - Geriatric Medicine in Tustin, CA

Q: What is Charles Kim MD Inc's NPI number?

The NPI number for Charles Kim MD Inc is 1063050193. It was assigned to this organization in the NPPES registry on December 19, 2019. The provider is doing business as Luzwave Medical Group.

Q: What is Charles Kim MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since December 19, 2019

14642 NEWPORT AVE STE 105, TUSTIN, CA 92780(951) 801-5566(714) 486-2309 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Charles Kim Md Inc NPPES

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

CHARLES KIM MD INC (NPI 1063050193), doing business as Luzwave Medical Group, is a healthcare organization registered as a geriatric medicine in Tustin, California and active in the NPI registry since December 2019. The organization lists Linda Mack, Administrator/delegated Official, as its authorized official.

NPPES Registry Identity

NPI1063050193

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameCHARLES KIM MD INC

Location Address14642 NEWPORT AVE STE 105Tustin, CA 92780-6058

Mailing Address14642 Newport Ave Ste 105Tustin, CA 92780-6058 · (951) 801-5566 · Fax (714) 486-2309

Phone(951) 801-5566

Fax(714) 486-2309

Organization SubpartNo

Authorized OfficialLinda MackAdministrator/delegated Official · (951) 801-5566

Enumeration DateDecember 19, 2019

✔ NPI 1063050193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

14642 NEWPORT AVE STE 105, Tustin, CA 92780

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Other Names 1

Doing Business AsLuzwave Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

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