Kim, Tai-Won

Kim, Tai-Won is an individual health care provider with primary practice located at 7212 Orangethorpe Avenue, Suite 9A, Buena Park CA 90621-4668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kim, Tai-Won can be contacted via phone (714) 503-6550.

Contact Information

Primary practice address
7212 Orangethorpe Avenue, Suite 9A Buena Park CA 90621-4668
Phone: (714) 503-6550
Fax: (714) 409-3075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C50240 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37571 Ohio

Profile Details

NPI number 1487733754
LBN Legal business name Kim, Tai-Won
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Dec 26th, 2023 - about last year

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 1487733754 NPPES
Ohio MEDICAID 0330654
Ohio MEDICAID 1487733754
Ohio Other 35037571

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