Individual provider Active NPI

Bokyoung Sim, DC

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1053997288
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
35044 Issued in CA
Practice address
3832 Wilshire Blvd Ste 103
Los Angeles, CA 90010-3220
Phone
(213) 388-8820
Fax
(213) 529-4086
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 35044 CA Primary

Addresses

Primary practice location

3832 Wilshire Blvd Ste 103
Los Angeles, CA 90010-3220

Mailing address

3832 Wilshire Blvd Ste 103
Los Angeles, CA 90010-3220
Phone (323) 381-8848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35044CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sim Chiropractic Spine & Injury Inc Chiropractor PastSince Mar 21, 2021 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1053997288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 WILSHIRE BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103220",
            "telephone_number": "323-381-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3832 WILSHIRE BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103220",
            "telephone_number": "213-388-8820",
            "fax_number": "213-529-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIM",
        "first_name": "BOKYOUNG",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "35044",
            "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 Mar 18, 2021; 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.