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General NPI Number Information
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NPI Number | 1710842422
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Entity Type | Organization
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Legal Business Name | EDWARD T KIM MD PC
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 400 NEWPORT CENTER DR STE 704
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-8603
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Country | US
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Telephone | 949-785-6300
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Fax | 949-785-6300
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Provider Business Mailing Address
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Address Line | 400 NEWPORT CENTER DR STE 704
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-8603
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Country | US
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Telephone | 949-785-6300
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Fax | 949-785-6300
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Authorized Official
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Title or Position | OWNER
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Name | EDWARD T KIM
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Credential | MD
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Telephone | 630-248-5539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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