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

Organization Multi-Specialty Clinic/Center · NPI 1912666348

Cho Long Kim Nmd PLLC is a Multi-Specialty Clinic/Center in Tempe, Arizona. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

505 S Madison Dr
Tempe, AZ 85281-7213
Phone: (480) 900-7952
Fax: (480) 999-3346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1912666348
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Regina Shakespeare — Manager · (928) 554-5633
NPI enumeratedDecember 13, 2021
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021
Mailing address23700 N 23rd Ave Apt 32, Phoenix, AZ 85085-2018

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