Individual provider Active NPI

Leonard H Kim, MD

  • Procedural Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1023183258
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A77636 Issued in CA
Practice address
2080 Century Park E Ste 401
Los Angeles, CA 90067
Phone
(310) 289-0009
Fax
(844) 331-1307
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X A77636 CA Primary

Addresses

Primary practice location

2080 Century Park E Ste 401
Los Angeles, CA 90067

Mailing address

2080 Century Park E Ste 401
Los Angeles, CA 90067-2007
Phone (310) 289-0009

Other practice location 1

150 N Robertson Blvd Ste 304
Beverly Hills, CA 90211-2145
Phone (310) 289-0009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040126000971 CA Practitioner - Dermatology 9335041631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leonard H Kim MD Medical CorpGroup PAC ID 1759489206, 2 clinicians

Practice addresses (Care Compare)

150 N Robertson Blvd
Suite 304
Beverly Hills, CA 90211-2145
Phone (310) 289-0009

Merit-based Incentive Payment System (MIPS)

Final score
88.52 of 100Reported as individual
Quality
79.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions380
Removal of skin cancer70
Removal or shaving of skin growth1-10
Skin biopsy225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A77636CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leonard H Kim MD Medical Corp Procedural Dermatology CurrentSince Jan 1, 2007 Accepting new patients
Cedars-Sinai Medical Center PastSince Jan 1, 2007 Accepting new patients

Locations

150 N Robertson Blvd
Ste 304
Beverly Hills, CA 90211
Phone (310) 289-0009

2080 Century Park E
Ste 401
Los Angeles, CA 90067
Phone (310) 289-0009

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1023183258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672007",
            "telephone_number": "310-289-0009",
            "fax_number": "844-331-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 401",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90067",
            "telephone_number": "310-289-0009",
            "fax_number": "844-331-1307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N Robertson Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902112145",
            "country_code": "US",
            "telephone_number": "310-289-0009",
            "fax_number": "310-289-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "LEONARD",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A77636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.