Individual provider Active NPI

Kim-Han Lorine, PHD

  • Clinical Psychologist
  • Long Beach, CA
National Provider Identifier
1144523820
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY22259 Issued in CA
Practice address
3466 Stanbridge Ave
Long Beach, CA 90808-2650
Phone
(310) 308-1461
NPI assigned
Dec 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY22259 CA Primary

Addresses

Primary practice location

3466 Stanbridge Ave
Long Beach, CA 90808-2650

Mailing address

3466 Stanbridge Ave
Long Beach, CA 90808-2650
Phone (310) 308-1461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210601001379 CA Practitioner - Clinical Psychologist 8527467141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UC RegentsGroup PAC ID 0749180453, 148 clinicians

Practice addresses (Care Compare)

300 Medical PLZ
Suite 2200
Los Angeles, CA 90095-6968
Phone (310) 825-9989

757 Westwood PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY22259CAMDClinical Psychologist
22259CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Clinical CurrentSince Jul 1, 2021 Accepting new patients
Crossroads Institute for Psychotherapy and Assessment, Inc Clinical PastSince Sep 20, 2014 Accepting new patients

Locations

300 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-8438

300 UCLA Medical Plz
Ste 2200
Los Angeles, CA 90095
Phone (310) 267-6810

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1144523820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 STANBRIDGE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082650",
            "telephone_number": "310-308-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 STANBRIDGE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082650",
            "telephone_number": "310-308-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORINE",
        "first_name": "KIM-HAN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.