HONG S. KIM, M.D., INC - NPI 1245421353 - Internal Medicine in Garden Grove, CA

Q: What is Hong S. Kim, M.D., Inc's NPI number?

The NPI number for Hong S. Kim, M.D., Inc is 1245421353. It was assigned to this organization in the NPPES registry on August 5, 2007.

Q: What is Hong S. Kim, M.D., Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

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

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

HONG S. KIM, M.D., INC (NPI 1245421353) is a healthcare organization registered as a nephrology in Garden Grove, California and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through April 5, 2028 and lists Hong S Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1245421353

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameHONG S. KIM, M.D., INC

Location Address12665 GARDEN GROVE BLVD STE 503Garden Grove, CA 92843-1919

Mailing Address12665 Garden Grove Blvd Ste 503Garden Grove, CA 92843-1919 · (714) 530-3740 · Fax (714) 530-0582

Phone(714) 530-3740

Fax(714) 530-0582

Organization SubpartNo

Authorized OfficialHong S KimOwner · (714) 530-3740

Enumeration DateAugust 5, 2007

Last NPPES UpdateNovember 7, 2013

✔ NPI 1245421353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in CA · A45579

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

12665 GARDEN GROVE BLVD STE 503, Garden Grove, CA 92843

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Other Identifiers 1

Medicare PINW14476CA

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 05D0943924

Hong S Kim MD Inc · Garden Grove, CA

Active · expires Apr 5, 2028

CLIA Number05D0943924

Laboratory TypePhysician Office

Certificate Effective DateApril 6, 2026

Certificate Expiration DateApril 5, 2028

Laboratory DirectorHong S. Kim

Laboratory Phone(714) 530-3740

Laboratory LocationHong S Kim MD Inc12665 Garden Grove Blvd #503, Garden Grove, CA 92843

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

HONG S. KIM, MD, INC

Skilled Nursing Facility