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MERIDIAN SPORTS MEDICINE & PAIN CLINIC
NPI 1356671861
Pain Medicine - Pain Medicine in Anaheim, CA

Active since January 05, 2010CLIA 05D2084686 · Waiver
1736 W MEDICAL CENTER DR STE B, ANAHEIM, CA 92801(714) 520-0809(714) 520-0835 Get Directions Write a Review

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Meridian Sports Medicine & Pain Clinic NPPES

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

MERIDIAN SPORTS MEDICINE & PAIN CLINIC (NPI 1356671861) is a healthcare organization registered as a pain medicine in Anaheim, California and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Chin Se Kim, President, as its authorized official.

NPPES Registry Identity

NPI1356671861
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameCHIN SE KIM, MD INC
Location Address1736 W MEDICAL CENTER DR STE BAnaheim, CA 92801-1854
Mailing Address1736 W Medical Center Dr Ste BAnaheim, CA 92801-1854 · (714) 520-0809 · Fax (714) 520-0835
Phone(714) 520-0809
Fax(714) 520-0835
Organization SubpartNo
Authorized OfficialChin Se KimPresident · (714) 520-0809
Enumeration DateJanuary 5, 2010
Last NPPES UpdateFebruary 2, 2010
✔ NPI 1356671861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
License✔ Licensed in CA · A46079
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X · License A46079 (CA)
1736 W MEDICAL CENTER DR STE B, Anaheim, CA 92801
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Other Names 1

Doing Business AsMeridian Sports Medicine & Pain Clinic

Other Identifiers 1

Medicare UPINE48498CA

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 MULTIPLE 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 05D2084686

Chin SE Kim M.D., Inc · Anaheim, CA
Active · expires Nov 29, 2027
CLIA Number05D2084686
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorChin S. Kim
Laboratory Phone(714) 520-0809
Laboratory LocationChin SE Kim M.D., Inc1736 W Medical Center Dr Ste B, Anaheim, CA 92801
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 2

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

DR. DANIEL RHEE KIM MD
Internal Medicine (Sports Medicine)
1736 W MEDICAL CENTER DR STE B
ANAHEIM, CA 92801
Orange County (323) 409-7556
DANIEL R KIM MD INC
Internal Medicine (Sports Medicine)
1736 W MEDICAL CENTER DR STE B
ANAHEIM, CA 92801
Orange County (323) 409-7556

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 Chin SE Kim, MD Inc's NPI number?

The NPI number for Chin SE Kim, MD Inc is 1356671861. It was assigned to this organization in the NPPES registry on January 5, 2010. The provider is doing business as Meridian Sports Medicine & Pain Clinic.

Where is Chin SE Kim, MD Inc located?

Chin SE Kim, MD Inc is located at 1736 W Medical Center Dr Ste B, Anaheim, CA 92801. The listed phone number is (714) 520-0809.

What is Chin SE Kim, MD Inc's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Does Chin SE Kim, MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2084686) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chin SE Kim, MD Inc was last updated on February 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.