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General NPI Number Information
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NPI Number | 1326457839
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Entity Type | Individual
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Provider Name | MICHAEL H. KIM-ORDEN MD
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Gender | Male
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 18035 BROOKHURST ST # 1100
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-6738
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Country | US
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Telephone | 714-861-4888
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Fax | 714-861-4777
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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 |
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Name |
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Credential |
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Telephone |
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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 | MD61054853
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | MD61054853
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | A138771
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License Number State | CA
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