Dr. Se-Ung Samuel Kim, M.D.
Obstetrics & Gynecology, Reproductive Endocrinology in Fullerton, CA. Individual provider (NPI-1).
NPI number1053415281
StatusActive
Last updated in NPPESSep 18, 2019
Details
- NPI
- 1053415281
- Entity type
- Individual (NPI-1)
- Name
- Dr. Se-Ung Samuel Kim
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2006
- Last updated
- Sep 18, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VE0102X | Obstetrics & Gynecology, Reproductive Endocrinology | A44647 | CA | Yes |
| 207VE0102X | Obstetrics & Gynecology, Reproductive Endocrinology | 04-32372 | KS | |
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 04-32372 | KS |
Practice location
2720 N Harbor Blvd Ste 220Fullerton, CA 92835-2626
Phone 657-243-8300 · Fax 714-278-4286
Mailing address
2720 N Harbor Blvd Ste 220Fullerton, CA 92835-2626
Phone 657-243-8300 · Fax 714-278-4286
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