NPIMap

Organization Active NPI

Sang Y. Kim, M.D., Inc.

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1003832858
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A41877 Issued in CA
Legal business name
SANG Y. KIM, M.D., INC.
Practice address
3020 Wilshire Blvd Ste 160
Los Angeles, CA 90010-1120
Phone
(213) 738-0045
Fax
(213) 738-0032
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sang Y Kim, M.D.NPI 1568494367
Title
President
Phone
(213) 738-0045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A41877 CA Primary

Addresses

Primary practice location

3020 Wilshire Blvd Ste 160
Los Angeles, CA 90010-1120

Mailing address

3020 Wilshire Blvd Ste 160
Los Angeles, CA 90010-1120
Phone (213) 738-0045

National Provider Directory

National Provider Directory

Locations

3020 Wilshire Blvd
Ste 160
Los Angeles, CA 90010
Phone (213) 738-0045

2960 Wilshire Blvd
Ste 100
Los Angeles, CA 90010
Phone (213) 380-2233

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003832858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 WILSHIRE BLVD STE 160",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101120",
            "telephone_number": "213-738-0045",
            "fax_number": "213-738-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 WILSHIRE BLVD STE 160",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101120",
            "telephone_number": "213-738-0045",
            "fax_number": "213-738-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG Y. KIM, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-738-0045",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A41877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.