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

Kenneth C Kim, DO

Individual provider Diagnostic Radiology Physician · NPI 1710509054

Kenneth C Kim, DO is a Diagnostic Radiology in Orange, California. Qualified in 2020, 6 years ago. Practices with Uc Regents, a 103-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
6
Licensed in
CA, MO
In the registry since
2020
Specialties on file
2
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.

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Practice location Address checks out

101 The City Dr S
Orange, CA 92868-3201
Phone: (714) 456-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 20A23701 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 1710509054 (MO)

Record details

NPI number1710509054
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 9, 2020
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address200 S Manchester Ave Ste 300, Orange, CA 92868-3219

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Uc Regents — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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