Kim, Chin Se

Kim, Chin Se is an sole proprietor health care provider with primary practice located at 1736 W Medical Center Dr Suite B, Anaheim CA 92801-1854. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine is his primary health care specialty. Kim, Chin Se can be contacted via phone (714) 520-0809.

Contact Information

Primary practice address
1736 W Medical Center Dr Suite B Anaheim CA 92801-1854
Phone: (714) 520-0809
Fax: (714) 520-0835
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine 204C00000X A46079 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A46079 California
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X A46079 California
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X A46079 California

Profile Details

NPI number 1477564607
LBN Legal business name Kim, Chin Se
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2006
Last updated May 5th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477564607 NPPES
California MEDICAID 00A46079

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