Search › California › 363A00000X

Dongwhan Im, PHYSICIAN ASSISTANT

NPI 1174257414 · on the registry since 2022 · sole proprietor

Practice

Address
1950 Sunny Crest Dr Ste 2600
Fullerton, CA 92835
Phone
(714) 446-5590
Fax
(714) 446-5592
Organisation at this address
Ykp2, Inc
Memory Spa, Llc
Credena Health Llc
Kim Medical Corporation
Medical Center For Women
Inferred from a shared address, not stated in the registry.
Clinicians at this address
34

Additional practice sites

  • 13522 Newport Ave, Tustin, CA

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California