Kim, Chong Sang
Kim, Chong Sang is an individual health care provider with primary practice located at 3010 W Orange Ave Ste 203 , Anaheim CA 92804-3171. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Kim, Chong Sang can be contacted via phone (714) 236-2825.Contact Information
Primary practice address
3010 W Orange Ave Ste 203
Anaheim CA 92804-3171
Phone: (714) 236-2825
Fax: (714) 236-2836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G14042 | California |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | G14042 | California |
Profile Details
| NPI number | 1538188347 |
|---|---|
| LBN Legal business name | Kim, Chong Sang |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Sep 11th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538188347 | NPPES |
| California | MEDICAID | 00G140420 |
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