{"npi":"1477564607","type":"NPI-1","status":"active","name":{"display":"Dr. Chin Kim M.D.","other":[],"first":"CHIN","last":"KIM","middle":"SE","credential":"M.D."},"specialty":{"primary_taxonomy":"204C00000X","primary_taxonomy_description":"Sports Medicine (Neuromusculoskeletal Medicine) Physician","slug":"sports-medicine-neuromusculoskeletal-medicine-physician","schema_org_specialty":null,"all":[{"code":"204C00000X","description":"Sports Medicine (Neuromusculoskeletal Medicine) Physician","primary":true,"state":"CA","license":"A46079"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"CA","license":"A46079"},{"code":"207RS0010X","description":"Sports Medicine (Internal Medicine) Physician","primary":false,"state":"CA","license":"A46079"},{"code":"208VP0000X","description":"Pain Medicine Physician","primary":false,"state":"CA","license":"A46079"}]},"addresses":[{"purpose":"LOCATION","street_1":"1736 W MEDICAL CENTER DR","city":"ANAHEIM","state":"CA","postal_code":"928011854","country_code":"US","street_2":"SUITE B","phone":"7145200809","fax":"7145200835"},{"purpose":"MAILING","street_1":"1736 W MEDICAL CENTER DR","city":"ANAHEIM","state":"CA","postal_code":"928011854","country_code":"US","street_2":"SUITE B","phone":"7145200809","fax":"7145200835"}],"license":{"state":"CA","number":"A46079"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00A46079","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050616000376","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"CA","pac_id":"8224072608"}]},"enumeration_date":"2006-08-11","last_updated":"2008-05-05","_meta":{"source":"NPPES","snapshot_date":"2008-05-05","doc_url":"https://findmynpi.com/api"}}