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General NPI Number Information
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NPI Number | 1316709678
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Entity Type | Organization
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Legal Business Name | KIM-ORDEN PC
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 3751 KATELLA AVE
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3113
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Country | US
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Telephone | 562-598-1311
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Fax |
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Provider Business Mailing Address
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Address Line | 6230 IRVINE BLVD # 338
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City | IRVINE
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State | CA
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Zip | 92620-2103
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Country | US
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Telephone | 949-274-9621
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL KIM-ORDEN
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Credential | MD
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Telephone | 949-274-9621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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