Kevin Im, M.D., a Medical Corp Defined.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A117206 Issued in CA

Legal business name

KEVIN IM, M.D., A MEDICAL CORP DEFINED.

Practice address

3785 Wilshire Blvd Apt 1701
Los Angeles, CA 90010-2891

Phone

(703) 344-4855

NPI assigned

Jun 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sung Im, M.D.

Title

President

Phone

(703) 344-4855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1124432711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 WILSHIRE BLVD APT 1701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102891",
            "telephone_number": "703-344-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 WILSHIRE BLVD APT 1701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102891",
            "telephone_number": "703-344-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN IM, M.D., A MEDICAL CORP DEFINED.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "SUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-344-4855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A117206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon M. Keushkerian, M.D.
• Kevin B. Seto, D.D.S, M.S., P.C.
• Kevin Barrett DDS Inc
• Kevin E. Lew, DDS, MD, Inc.
• Kevin Graves Marriage and Family Therapist Inc
• Kevin J. Chamas Inc.
• Kevin J. Pelton MD, Inc.
• Kevin J. Pelton MD, Inc. (Los Angeles Orthopaedic Surgery Specialists)
• Kevin Jae Choi, MD, Ms a Professional Medical Corporation (Sensa Health)
• Kevin L Chin DDS Inc (City of Angels Dentistry)

• Anesthesiology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.