| Doctor Name: | KWANG SOOK KIM |
| NPI Number: | 1285725051 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A37552 |
| Business Practice Address: | 9636 Garden Grove Blvd # 16 Garden Grove, CA - 928441530 |
| Business Phone Number: | 7142901657 |
| Business Fax Number: | 5624044323 |
| Mailing Address: | 9636 Garden Grove Blvd # 16, GARDEN GROVE |
| State: | CA |
| Postal Code: | 928441530 |
| Phone Number: | 7142901657 |
| Fax Number: | 5624044323 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 09/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A37552 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |