NPIMap

Organization Active NPI

Dr. Kwang E. Kim,D.C., PH.D.,Inc.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1144490608
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC11144 Issued in CA
Legal business name
DR. KWANG E. KIM,D.C., PH.D.,INC.
Practice address
4711 Oakwood Ave
Suite 100
Los Angeles, CA 90004-2471
Phone
(323) 468-1001
Fax
(323) 468-1080
NPI assigned
Mar 11, 2008
Organization subpart
Yes
Parent organization
A CHIROPRACTIC CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Kwang E Kim, D.C.NPI 1538356738
Title
President
Phone
(323) 468-1001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC11144 CA Primary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC488 CA

Addresses

Primary practice location

4711 Oakwood Ave
Suite 100
Los Angeles, CA 90004-2471

Mailing address

4711 Oakwood Ave
Suite 100
Los Angeles, CA 90004-2471
Phone (323) 468-1001

Other identifiers 3

IdentifierTypeStateIssuer
8755512MedicaidCA
AC0004880OtherCAACUPUNCTURIST
DC11144OtherCACHIROPRACTOR

National Provider Directory

National Provider Directory
Part of
Kwang E Kim DC Acc

Locations

4711 Oakwood Ave
Ste 100
Los Angeles, CA 90004
Phone (323) 468-1001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1144490608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 OAKWOOD AVE",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900042471",
            "telephone_number": "323-468-1001",
            "fax_number": "323-468-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 OAKWOOD AVE",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900042471",
            "telephone_number": "323-468-1001",
            "fax_number": "323-468-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KWANG E. KIM,D.C., PH.D.,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A CHIROPRACTIC CORPORATION",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KWANG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-468-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC11144",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8755512",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "AC0004880",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "DC11144",
            "state": "CA"
        }
    ],
    "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 11, 2008; 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.