Active NPI
Woo Sup Kim, DC
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1144249269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC27464
- Practice address
- 2120 W 8TH St
Suite 200
Los Angeles, CA 90057-4019 - Phone
- (213) 483-3987
- Fax
- (213) 483-5547
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27464 | CA | Primary |
Addresses
Primary practice location
2120 W 8TH St
Suite 200
Los Angeles, CA 90057-4019
Mailing address
2120 W 8TH St
Suite 200
Los Angeles, CA 90057-4019
Phone (213) 483-3987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC27464 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Terapia Como Nueva Inc | Past | Accepting new patients | |
| Nuestra Angel Medical Center Inc | Past | Accepting new patients | |
| Nuestra Rehabilitation Center , Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Physical Medicine & Rehabilitation Physician
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- NPI 1689625022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1144249269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 W 8TH ST",
"address_2": "SUITE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574019",
"telephone_number": "213-483-3987",
"fax_number": "213-483-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 W 8TH ST",
"address_2": "SUITE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574019",
"telephone_number": "213-483-3987",
"fax_number": "213-483-5547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "WOO",
"middle_name": "SUP",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC27464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.