Janet Sun-Kyoung Kim, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11673 Issued in CA

Practice address

3525 W Carson St
Del Amo Fashion Center Unit #30
Torrance, CA 90503-5704

Phone

(310) 370-2626

Fax

(310) 370-1850

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Janet Mastick Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083764682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11921 WEATHERBY RD",
            "city": "ROSSMOOR",
            "state": "CA",
            "postal_code": "907204336",
            "telephone_number": "562-596-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W CARSON ST",
            "address_2": "DEL AMO FASHION CENTER UNIT #30",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035704",
            "telephone_number": "310-370-2626",
            "fax_number": "310-370-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JANET",
        "middle_name": "SUN-KYOUNG",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "MASTICK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• In S Kim
• In Yul Kim, ABO, NCLE
• Irene Hye Sook Kim
• James M Kim, D.C.
• Jane Kim
• Jason Yonghoon Kim, M.D.
• Jeffrey Kim, M.D.
• Jennifer Kim
• Jenny Kim, PA-C
• Jinhee Christine Kim, LCSW

• Optometrist in Torrance, CA
• Providers in Torrance, CA by specialty
• Optometrist in California

• 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.

Verify at the official NPI Registry.