Kim, Thomas Dong
Kim, Thomas Dong is an individual health care provider with primary practice located at 1310 W Stewart Dr Suite 410, Orange CA 92868-3854. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Kim, Thomas Dong can be contacted via phone (714) 639-9401.Contact Information
Primary practice address
1310 W Stewart Dr Suite 410
Orange CA 92868-3854
Phone: (714) 639-9401
Fax: (714) 639-4105
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A90400 | California |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A90400 | California |
Profile Details
| NPI number | 1760530786 |
|---|---|
| LBN Legal business name | Kim, Thomas Dong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Dec 19th, 2014 - about 11 years ago |
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 | 1760530786 | NPPES |
| Other | 1912919804 | NPI TYPE 2 | |
| Other | P00460300 | NPI TYPE 2 | |
| Other | CG5665 | NPI TYPE 2 |
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