1. Home
  2. Directory
  3. California
  4. Irvine
  5. Internal Medicine
  6. NPI Profile

KIM MEDICAL GROUP
NPI 1700072550
Internal Medicine in Irvine, CA

Active since September 14, 2007CLIA 05D1009761 · Waiver
2500 ALTON PKWY, SUITE 108, IRVINE, CA 92606(949) 552-8282(949) 552-2215 Get Directions Write a Review

NPPES record last updated: September 14, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim Medical Group NPPES

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

KIM MEDICAL GROUP (NPI 1700072550) is a healthcare organization registered as an internal medicine in Irvine, California and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through February 24, 2027 and lists Bangsun Justin Kim, President, as its authorized official.

NPPES Registry Identity

NPI1700072550
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBANGSUN JUSTIN KIM M.D., INC.
Location Address2500 ALTON PKWY, SUITE 108Irvine, CA 92606-5024
Mailing Address2500 Alton Pkwy, Suite 108Irvine, CA 92606-5024 · (949) 552-8282 · Fax (949) 552-2215
Phone(949) 552-8282
Fax(949) 552-2215
Organization SubpartNo
Authorized OfficialBangsun Justin KimPresident · (949) 552-8282
Enumeration DateSeptember 14, 2007
✔ NPI 1700072550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
2500 ALTON PKWY, Irvine, CA 92606
Open in Google Maps ↗

Other Names 1

Doing Business AsKim Medical Group

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 05D1009761

Bangsun Justin Kim MD Inc · Irvine, CA
Active · expires Feb 24, 2027
CLIA Number05D1009761
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorBang Sun Kim MD
Laboratory Phone(949) 552-8282
Laboratory LocationBangsun Justin Kim MD Inc2500 Alton Parkway Ste 108, Irvine, CA 92606
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 18

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

DR. ALI REZA MANSOURI DDS
Dentist
2500 ALTON PKWY, SUITE 200
IRVINE, CA 92606
Orange County (949) 748-7373
I LANE WONG M.D.
Specialist
2500 ALTON PKWY, STE. 201
IRVINE, CA 92606
Orange County (949) 387-3888
AMIR ESFANDIARI DDS, INC
Dentist
2500 ALTON PKWY, SUITE 203
IRVINE, CA 92606
Orange County (949) 861-2500
DR. PATRICK WAH LEE D.D.S
Dentist (Pediatric Dentistry)
2500 ALTON PKWY, SUITE 206
IRVINE, CA 92606
Orange County (949) 833-7888
DR. AMIR MEHDI NOORI-ESFANDIARI DDS
Dentist (General Practice)
2500 ALTON PKWY, SUITE 203
IRVINE, CA 92606
Orange County (949) 861-2500
DR. ROXANNA BAGHAI DDS
Dentist (General Practice)
2500 ALTON PKWY, SUITE 110
IRVINE, CA 92606
Orange County (949) 679-4100
DR. MARY MEKHAEL OD
Optometrist
2500 ALTON PKWY, STE 102
IRVINE, CA 92606
Orange County (949) 679-2426
DR. VANILA GODARA DDS
Dentist (Oral and Maxillofacial Surgery)
2500 ALTON PKWY, STE 202 & 208
IRVINE, CA 92606
Orange County (714) 557-7744

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 Bangsun Justin Kim M.D., Inc.'s NPI number?

The NPI number for Bangsun Justin Kim M.D., Inc. is 1700072550. It was assigned to this organization in the NPPES registry on September 14, 2007. The provider is doing business as Kim Medical Group.

Where is Bangsun Justin Kim M.D., Inc. located?

Bangsun Justin Kim M.D., Inc. is located at 2500 Alton Pkwy Suite 108, Irvine, CA 92606. The listed phone number is (949) 552-8282.

What is Bangsun Justin Kim M.D., Inc.'s specialty?

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

Does Bangsun Justin Kim M.D., Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1009761) is associated with this NPI, valid through February 24, 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 Bangsun Justin Kim M.D., Inc. was last updated on September 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.