Provider Demographics
NPI:1902060916
Name:KIM, JOHN CHIN WON (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHIN WON
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1100W TOWN AND COUNTRY RD 1600
Mailing Address - Street 2:SUITE 1600
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4698
Mailing Address - Country:US
Mailing Address - Phone:323-728-7232
Mailing Address - Fax:657-218-7496
Practice Address - Street 1:1100W TOWN AND COUNTRY RD 1600
Practice Address - Street 2:SUITE 1600
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4698
Practice Address - Country:US
Practice Address - Phone:323-728-7232
Practice Address - Fax:657-218-7496
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2021-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI430109383207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine