Jasung Kim Psychiatrist Clinic, Apc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JASUNG KIM PSYCHIATRIST CLINIC, APC

Practice address

505 Shatto PL Ste 204
Los Angeles, CA 90020-1777

Phone

(213) 797-5953

Fax

(888) 550-3121

NPI assigned

Nov 1, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jasung Kim, MDNPI 1134235484

Title

Ceo

Phone

(213) 797-5953

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasung Kim, MD

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1134235484
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1083258073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 SHATTO PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201754",
            "telephone_number": "213-797-5953",
            "fax_number": "888-550-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 SHATTO PL STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201777",
            "telephone_number": "213-797-5953",
            "fax_number": "888-550-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASUNG KIM PSYCHIATRIST CLINIC, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JASUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-797-5953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rubi Jasso Gonzalez
• Guadalupe Jasso
• Humberto Jasso Jr., MSW
• Justin Jasso
• Sonia Jasuja
• Jasvant N. Modi, M.D., Inc.
• Jessica Kaur Jaswal
• Courtney Jatan
• Ana Cecilia Jauregui Gallardo
• Jonathan Jauregui-Garcia

• 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 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.