Choon Soo Rim, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

C50815 Issued in CA

Practice address

7920 Frost St
Suite 101
San Diego, CA 92123-2732

Phone

(858) 248-6955

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

NeurologyAlso: Family Practice

Education

Other, 1963

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woori Medical Group, Professional CorpGroup PAC ID 5799831848, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Woori Medical Group Professional Corp

  • General Practice Physician
  • San Diego, CA
  • NPI 1275764706
  Medicare reassignment Care Compare group
• Lakeside Neurology P C

  • Neurology Physician
  • Warren, MI
  • NPI 1982725735
  NPD
• Allergy Clinic of Warren PC

  • Allergy & Immunology Physician
  • Warren, MI
  • NPI 1750599569
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083827273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10583 HARVEST VIEW WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284192",
            "telephone_number": "858-748-4401",
            "fax_number": "858-679-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 FROST ST",
            "address_2": "SUITE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232732",
            "telephone_number": "858-248-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIM",
        "first_name": "CHOON",
        "middle_name": "SOO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "C50815",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301032089",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1061299",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Riley, D.C.
• Timothy B Riley, M.D.
• Janine Rillera
• Ricarte Poot Rillera
• Heather Camille Rilling, ND
• Rhodora Rimando
• Vanessa Pearl Arceo Rimando, RN
• Marissa Carmella Rimer
• Virginia S Rinaldi
• Emily Ann Rinaldo

• Neurology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Neurology Physician 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.