Charles Kim MD Inc
NPI 1063050193 · Geriatric Medicine (Family Medicine) Physician · Tustin, CA
Charles Kim MD Inc is a Geriatric Medicine (Family Medicine) Physician organization in Tustin, CA (NPI 1063050193).
Provider details
- NPI number
- 1063050193
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Linda Mack, Administrator/Delegated Official(951) 801-5566
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Luzwave Medical Group
Registry dates
- Enumerated
- 2019-12-19
- Last updated
- 2019-12-19
- Certified
- 2019-12-19
Frequently asked questions
- What is Charles Kim MD Inc's NPI number?
- Charles Kim MD Inc's National Provider Identifier (NPI) is 1063050193, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles Kim MD Inc?
- Charles Kim MD Inc is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Charles Kim MD Inc located?
- Charles Kim MD Inc's practice location on file with NPPES is 14642 Newport Ave Ste 105, Tustin, CA 92780-6058.
- What is Charles Kim MD Inc's phone number?
- The practice phone number listed in the NPPES registry for Charles Kim MD Inc is (951) 801-5566.
- Who is the authorized official for Charles Kim MD Inc?
- The authorized official listed on Charles Kim MD Inc's NPPES record is Linda Mack, Administrator/Delegated Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles Kim MD Inc's NPI active?
- Yes — Charles Kim MD Inc's NPI (1063050193) is active in the NPPES registry as of the last update on 2019-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.