Active NPI
Nancy K Kim, M.D
- Specialist
- Los Angeles, CA
National Provider Identifier
1073547626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G75513
- Practice address
- 3663 W 6TH St Ste 307
Los Angeles, CA 90020-3050 - Phone
- (213) 389-8400
- Fax
- (213) 365-2600
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | G75513 | CA | Primary |
Addresses
Primary practice location
3663 W 6TH St Ste 307
Los Angeles, CA 90020-3050
Mailing address
3663 W. 6TH St. #307
Los Angeles, CA 90020-3050
Phone (213) 389-8400
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G75513 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073547626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3663 W. 6TH ST. #307",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203050",
"telephone_number": "213-389-8400",
"fax_number": "213-365-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 W 6TH ST STE 307",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203050",
"telephone_number": "213-389-8400",
"fax_number": "213-365-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "NANCY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G75513",
"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 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.