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Wayne W Kim, DO
Federally Qualified Health Center (FQHC) in Stanton, California
NPI 1619987054

Wayne W Kim is a Federally Qualified Health Center (FQHC) based in Stanton, CA and is specialized in Federally Qualified Health Center (FQHC). Wayne W Kim practices in Stanton, CA and has the professional credentials of DO. The NPI Number for Wayne W Kim is 1619987054 and holds a License No. OP00001562 (California).

The current practice location address for Wayne W Kim is 12362 Beach Blvd Ste 10, Stanton, CA and can be reached out via phone at 714-248-9500 and via fax at 714-622-4943.

Location: 12362 Beach Blvd Ste 10, Stanton, CA, 90680-3944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619987054
Provider Name
Wayne W Kim
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
12362 Beach Blvd Ste 10, Stanton, CA, 90680-3944
Phone Number
714-248-9500
Fax Number
714-622-4943
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 CA
institution
Provider Business Practice Location Address Details
Address
12362 Beach Blvd Ste 10
City
Stanton
State
California
Zip
90680-3944
Phone Number
714-248-9500
Fax Number
714-622-4943
person
Provider Business Mailing Address Details
Address
12362 Beach Blvd Ste 10
City
Stanton
State
California
Zip
90680-3944
Phone Number
714-248-9500
Fax Number
714-622-4943
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
()
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
OP00001562 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
OP00001562 (Washington)
Definition
Definition to come...
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