Provider Demographics
NPI:1578205761
Name:SUNG HYUN KIM, M.D. A MEDICAL CORPORATION
Entity type:Organization
Organization Name:SUNG HYUN KIM, M.D. A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNG HYUN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-250-2008
Mailing Address - Street 1:3747 OAK GLEN DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-3751
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:980-305-7488
Practice Address - Street 1:7011 ORANGETHORPE AVE STE 100
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-3322
Practice Address - Country:US
Practice Address - Phone:714-562-9139
Practice Address - Fax:213-769-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-08
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty