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Charles Kim MD Inc

Geriatric Medicine (Family Medicine) Physician in Tustin, CA · enumerated 2019 · authorized official Linda Mack, Administrator/Delegated Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063050193

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Registry record

Entity type Organization (Type 2)
Legal business name Charles Kim MD Inc
Practice address 14642 Newport Ave Ste 105, Tustin, CA, 92780
Phone (951) 801-5566
Fax (714) 486-2309
Enumeration date Dec 19, 2019
Last updated in NPPES Dec 19, 2019

Taxonomy & classification

207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Linda Mack
Title Administrator/Delegated Official
Phone (951) 801-5566

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Charles Kim MD Inc?
Charles Kim MD Inc is registered in NPPES as a Geriatric Medicine (Family Medicine) Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-19.