Active NPI
Havasu House Call PLLC
- Geriatric Medicine (Family Medicine) Physician
- Lake Havasu City, AZ
National Provider Identifier
1174427892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- HAVASU HOUSE CALL PLLC
- Practice address
- 3180 Caravelle Dr
Lake Havasu City, AZ 86406-6144 - Phone
- (512) 970-1629
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yun Kim, MD
- Title
- Owner
- Phone
- (512) 970-1629
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | NU | Primary |
Addresses
Primary practice location
3180 Caravelle Dr
Lake Havasu City, AZ 86406-6144
Mailing address
3180 Caravelle Dr
Lake Havasu City, AZ 86406-6144
Phone (512) 970-1629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791244800000",
"number": "1174427892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 CARAVELLE DR",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864066144",
"telephone_number": "512-970-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 CARAVELLE DR",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864066144",
"telephone_number": "512-970-1629"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVASU HOUSE CALL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-06",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "YUN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-970-1629",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Havasu City, AZ
- Havasu Dental Center PLLC
- Havasu Emergency Physicians, PC
- Havasu Foot & Ankle Center
- Havasu Foot & Ankle Center
- Havasu Health Care Pharm
- Havasu Lung and Sleep Disorders Center LLC
- Havasu Medical Care
- Havasu Medical Supply Inc.
- Havasu Neurological Center PLLC
- Havasu Nursing Center 2 Inc (Havasu Nursing Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.