| NPI | 1356671861 |
|---|---|
| Doing Business As | MERIDIAN SPORTS MEDICINE & PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHIN SE KIM President 714-520-0809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: CA A46079) |
| Additional Taxonomies | 207RS0010X Internal Medicine Sports Medicine (Licence: CA A46079) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2010-02-02 |