Kim, Chong Sang

Kim, Chong Sang is an individual health care provider with primary practice located at 3010 W Orange Ave Ste 203 , Anaheim CA 92804-3171. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Kim, Chong Sang can be contacted via phone (714) 236-2825.

Contact Information

Primary practice address
3010 W Orange Ave Ste 203 Anaheim CA 92804-3171
Phone: (714) 236-2825
Fax: (714) 236-2836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G14042 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X G14042 California

Profile Details

NPI number 1538188347
LBN Legal business name Kim, Chong Sang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 9th, 2007 - about 17 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 1538188347 NPPES
California MEDICAID 00G140420

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