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

Dr. Tae Sun Kim, MD

Individual provider Ophthalmology Physician · NPI 1366578049

Dr. Tae Sun Kim, MD is an Ophthalmology in Cerritos, California. Graduated from Tufts University School of Medicine in 1990, 36 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
36
Trained at
Tufts University School of Medicine
Licensed in
CA
In the registry since
2007
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

11829 S St Ste 202
Cerritos, CA 90703-6828
Phone: (562) 402-4720
Fax: (562) 402-9231
Show map & directions

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence G81760 (CA)

Record details

NPI number1366578049
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJuly 8, 2007
Mailing address11829 South St, Suite 202, Cerritos, CA 90703-6828

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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