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

Chan S Kim, MD

Individual provider Family Medicine Physician · NPI 1679513550

Chan S Kim, MD is a Family Practice in Garden Grove, California. Graduated from Un of California, Irvine, College of Medicine in 1998, 28 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
28
Trained at
Un of California, Irvine, College of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12100 Euclid St
Garden Grove, CA 92840-3304
Phone: (888) 988-2800
Fax: (714) 741-3660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A71667 (CA)

Record details

NPI number1679513550
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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