CHARLES KIM MD INC
NPI 1780237313
Family Medicine - Adult Medicine in Indio, CA

Active since July 23, 2019
39717 CAMINO MISTRAL, INDIO, CA 92203(497) 749-9994(442) 268-1717 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2024, Aug 15, 2023, Jul 20, 2023 and 1 more (4 updates tracked since 2019).

About Charles Kim Md Inc NPPES

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

CHARLES KIM MD INC (NPI 1780237313) is a healthcare organization registered as an adult medicine in Indio, California and active in the NPI registry since July 2019. The organization lists Hye Young Sung, Medical Billing, as its authorized official.

NPPES Registry Identity

NPI1780237313
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameCHARLES KIM MD INC
Location Address39717 CAMINO MISTRALIndio, CA 92203-4361
Mailing Address2670 N Main St Ste 100Santa Ana, CA 92705-6639 · (949) 527-9009 · Fax (442) 268-1717
Fax(442) 268-1717
Organization SubpartNo
Authorized OfficialHye Young SungMedical Billing · (949) 527-9009
Enumeration DateJuly 23, 2019
Last NPPES UpdateDecember 5, 20244 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
NPI 1780237313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
39717 CAMINO MISTRAL, Indio, CA 92203

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

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 Charles Kim MD Inc's NPI number?

The NPI number for Charles Kim MD Inc is 1780237313. It was assigned to this organization in the NPPES registry on July 23, 2019.

Where is Charles Kim MD Inc located?

Charles Kim MD Inc is located at 39717 Camino Mistral, Indio, CA 92203. The listed phone number is (497) 749-9994.

What is Charles Kim MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Charles Kim MD Inc was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.