Active NPI
Melissa Kim
- Pharmacy Technician
- Torrance, CA
National Provider Identifier
1063628527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 54014
- Practice address
- 3400 Lomita Blvd
Ste 102
Torrance, CA 90505-4909 - Phone
- (310) 530-3010
- Fax
- (310) 530-7618
- NPI assigned
- May 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 54014 | CA | Primary |
Addresses
Primary practice location
3400 Lomita Blvd
Ste 102
Torrance, CA 90505-4909
Mailing address
2889 Plaza del Amo
Unit 525
Torrance, CA 90503-7377
Phone (310) 533-1435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA44389 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 54014 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063628527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2889 PLAZA DEL AMO",
"address_2": "UNIT 525",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905037377",
"telephone_number": "310-533-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 LOMITA BLVD",
"address_2": "STE 102",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054909",
"telephone_number": "310-530-3010",
"fax_number": "310-530-7618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "54014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA44389",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.