KPC Global Medical Center of South Los Angeles LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KPC GLOBAL MEDICAL CENTER OF SOUTH LOS ANGELES LLC

Practice address

3630 E Imperial Hwy
Lynwood, CA 90262-2609

Phone

(213) 484-7111

NPI assigned

Jul 12, 2019

Organization subpart

No

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

Authorized official

Name

William Thomas

Title

Secretary

Phone

(951) 987-8100

Specialties & licenses 1

Addresses

Other names 1

• Global Medical Center of South Los Angeles Doing business as

Tax ID family

Global Medical Center of South Los Angeles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• KPC Global Medical Center of South Los Angeles LLC

  • General Acute Care Hospital
  • Lynwood, CA
  • NPI 1770135345
  NPD tax ID

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1124670708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KPC PKWY STE 301",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797102",
            "telephone_number": "951-987-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622609",
            "telephone_number": "213-484-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPC GLOBAL MEDICAL CENTER OF SOUTH LOS ANGELES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "951-987-8100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Global Medical Center of South Los Angeles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yuna Kim, OTR/L
• Tracey King
• Naga Sai Ragha Manpreet Kondamuri
• Divyasri Koneru
• Amy Koplovsky, MD
• KPC Global Medical Center of South Los Angeles LLC
• Simon Nguyen Diep La
• Vivian Suzanne Labbad, LPT
• Michelle Lam
• Ramesh Lamichhane

• Skilled Nursing Facility in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.