Tchang Jun Kim Md Inc

LBN: Tchang Jun Kim Md Inc
Tchang Jun Kim Md Inc is an health care organization with primary practice located at 12601 Garden Grove Blvd , Garden Grove CA 92843-1908. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Tchang Jun Kim Md Inc can be contacted via phone (714) 537-5160, or through Kim, Tchang Jun via phone (714) 636-0342.

Contact Information

Primary practice address
12601 Garden Grove Blvd Garden Grove CA 92843-1908
Phone: (714) 537-5160
Fax: (714) 590-2489
Website:
Map and Directions
Authorized official contact:
Name: Kim, Tchang Jun Doctor of Medicine (MD)
Phone: (714) 636-0342

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A29337 California

Profile Details

NPI number 1629267943
LBN Legal business name Tchang Jun Kim Md Inc
DBA Doing business as
Authorized official Kim, Tchang Jun Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2007
Last updated Aug 22nd, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629267943 NPPES
California MEDICAID 00A293370

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