Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Kim MD Inc

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1063050193

Charles Kim MD Inc is a Geriatric Medicine (Family Medicine) Physician in Tustin, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

14642 Newport Ave Ste 105
Tustin, CA 92780-6058
Phone: (951) 801-5566
Fax: (714) 486-2309
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X

Record details

NPI number1063050193
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Mack — Administrator/Delegated Official · (951) 801-5566
Other names Luzwave Medical Group
NPI enumeratedDecember 19, 2019
Last updated in NPPESDecember 19, 2019
Certification dateDecember 19, 2019
Mailing address14642 Newport Ave Ste 105, Tustin, CA 92780-6058