Eugene Kimn, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A115852 Issued in CA

Practice address

1200 N State St
Los Angeles, CA 90033-1029

Phone

(323) 442-4001

NPI assigned

May 6, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chan and Kimn Medical Group

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1609682871
  NPD Authorized official
• Stephanie Chan, MD Inc

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1912698838
  NPD (past)

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1013209105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-442-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-442-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMN",
        "first_name": "EUGENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A115852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Kimia
• Sandra P. Kimm, MD
• Sierra Kimm
• Rachel Aimee Kimmel, RDN
• Kimmyco Outsourcing LLC
• Kayla Kimp
• Kims Foot & Ankle Clinic Inc.
• Lisa Kimsey, MFTI
• Kimura McClenaghan Optometrics, Inc.
• Daniel K. Kimura, O.D.

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.