Search › California › 207QA0505X
Charles Chol Bae Kim, MD
NPI 1225564818 · on the registry since 2017 · sole proprietor
Practice
- Address
- 14642 Newport Ave Ste 105
Tustin, CA 92780 - Phone
- (714) 831-1112
- Fax
- (714) 486-2309
- Organisation at this address
- Vir, Inc.
Tariq Ali Khan Md
Charles Kim Md Inc
Richard Lin Do Inc
Albert S Goh Md IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Registry record
- Primary taxonomy
- 207QA0505X
207QA0505X
- Also registered as
- 207Q00000X
207QG0300X - Licence states on file
- AZ, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California