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

Dr. Samuel Sun Kim, DO

Individual provider Family Medicine Physician · NPI 1073953469

Dr. Samuel Sun Kim, DO is a Family Practice in Chino, California. Graduated from At Still University, Arizona School of Dentistry & Oral Hlth in 2011, 15 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
15
Trained at
At Still University, Arizona School of Dentistry & Oral Hlth
Licensed in
CA
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5451 Walnut Ave
Chino, CA 91710-2609
Phone: (909) 464-9675
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A12759 (CA)

Record details

NPI number1073953469
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 28, 2013
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021
Mailing address5451 Walnut Ave, Chino, CA 91710-2609

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
Graduated 2011 (15 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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