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

Dr. Daniel Sebom Kim, MD

Individual provider Internal Medicine Physician · NPI 1568759454

Dr. Daniel Sebom Kim, MD is an Internal Medicine in Fullerton, California. Graduated from University of Texas Medical School at San Antonio in 2011, 15 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
15
Trained at
University of Texas Medical School at San Antonio
Licensed in
CA, MO
In the registry since
2011
Specialties on file
3
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

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone: (714) 992-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence A136712 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 136712 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2011015914 (MO)

Record details

NPI number1568759454
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 30, 2011
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024
Mailing address101 E Valencia Mesa Dr, Attention: Administration, Fullerton, CA 92835-3809

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2011 (15 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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