Provider Demographics
NPI:1871715888
Name:KIM, MICHAEL CHUNMIN (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CHUNMIN
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:35400 BOB HOPE DR STE 206
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-1774
Mailing Address - Country:US
Mailing Address - Phone:760-642-5549
Mailing Address - Fax:760-507-1008
Practice Address - Street 1:35400 BOB HOPE DR STE 206
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-1774
Practice Address - Country:US
Practice Address - Phone:760-642-5549
Practice Address - Fax:760-507-1008
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2021-10-19
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Provider Licenses
StateLicense IDTaxonomies
CAA68826207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine