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General NPI Number Information
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NPI Number | 1275953325
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Entity Type | Organization
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Legal Business Name | HYUNG O. KIM, M. D. INC.
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 2621 S BRISTOL ST STE 300-302
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City | SANTA ANA
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State | CA
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Zip | 92704-5766
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Country | US
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Telephone | 714-540-7720
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Fax | 714-540-5690
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Provider Business Mailing Address
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Address Line | 2621 S BRISTOL ST STE 300-302
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City | SANTA ANA
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State | CA
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Zip | 92704-5766
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Country | US
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Telephone | 714-540-7720
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Fax | 714-540-5690
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HYUNG O. KIM
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Credential | M. D..
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Telephone | 714-540-7720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A35664
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License Number State | CA
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