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

Wayne W Kim, DO

Individual provider Family Medicine Physician · NPI 1619987054

Wayne W Kim, DO is a Family Medicine Physician in Stanton, California. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2006
Specialties on file
4
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

12362 Beach Blvd Ste 10
Stanton, CA 90680-3944
Phone: (714) 248-9500
Fax: (714) 622-4943
Show map & directions

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

Additional practice locations (1)

  • 144 169th St S Ste A, Spanaway, WA 98387-8242 — (253) 536-2824

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X · Licence OP00001562 (WA)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence OP00001562 (WA)
Community Health Clinic/Center Taxonomy 261QC1500X

Record details

NPI number1619987054
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 8, 2006
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022
Mailing address12362 Beach Blvd Ste 10, Stanton, CA 90680-3944

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