Dong S. Kim, M.D., Inc

LBN: Dong S. Kim, M.D., Inc
Dong S. Kim, M.D., Inc is an health care organization with primary practice located at 11441 Heacock St Ste. F, Moreno Valley CA 92557-7907. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Dong S. Kim, M.D., Inc can be contacted via phone (951) 243-8000, or through Kim, Dong Soo via phone (951) 243-8000.

Contact Information

Primary practice address
11441 Heacock St Ste. F Moreno Valley CA 92557-7907
Phone: (951) 243-8000
Fax: (951) 243-9707
Website:
Map and Directions
Authorized official contact:
Name: Kim, Dong Soo Doctor of Medicine (MD)
Phone: (951) 243-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A48273 California

Profile Details

NPI number 1013027465
LBN Legal business name Dong S. Kim, M.D., Inc
DBA Doing business as
Authorized official Kim, Dong Soo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 26th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013027465 NPPES
California MEDICAID 1013027465
California Other A48273

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