KMK MEDICAL SERVICE, P.C.
NPI 1396486197
Clinic/Center in Tustin, CA

Active since April 05, 2022
14742 NEWPORT AVE STE 209, TUSTIN, CA 92780(949) 395-5835 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kmk Medical Service, P.c. NPPES

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

KMK MEDICAL SERVICE, P.C. (NPI 1396486197) is a healthcare organization registered as a clinic/center in Tustin, California and active in the NPI registry since April 2022. The organization lists Kevin Khouie, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396486197
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKMK MEDICAL SERVICE, P.C.
Location Address14742 NEWPORT AVE STE 209Tustin, CA 92780-6177
Mailing Address3334 E Coast Hwy # 713Corona Del Mar, CA 92625-2328
Organization SubpartNo
Authorized OfficialKevin KhouieCeo · (949) 395-5835
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
NPI 1396486197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

14742 NEWPORT AVE STE 209, Tustin, CA 92780

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
14742 NEWPORT AVE STE 209
TUSTIN, CA 92780

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 Kmk Medical Service, P.C.'s NPI number?

The NPI number for Kmk Medical Service, P.C. is 1396486197. It was assigned to this organization in the NPPES registry on April 5, 2022.

Where is Kmk Medical Service, P.C. located?

Kmk Medical Service, P.C. is located at 14742 Newport Ave Ste 209, Tustin, CA 92780. The listed phone number is (949) 395-5835.

What is Kmk Medical Service, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Kmk Medical Service, P.C. was last updated on April 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.