Active NPI
Yong J Kim, M.D.
- Specialist
- Los Angeles, CA
National Provider Identifier
1215061577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A22626
- Practice address
- 3055 Wilshire Blvd Ste 100
Los Angeles, CA 90010-1119 - Phone
- (213) 484-1000
- Fax
- (213) 484-2662
- NPI assigned
- Mar 16, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A22626 | CA | Primary |
Addresses
Primary practice location
3055 Wilshire Blvd Ste 100
Los Angeles, CA 90010-1119
Mailing address
3055 Wilshire Blvd Ste 100
Los Angeles, CA 90010-1119
Phone (213) 484-1000
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A22626 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven G Khwarg MD Prof Corp | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Retina Specialist (Ophthalmology) Physician
- Los Angeles, CA
- NPI 1568722957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527724800000",
"number": "1215061577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3055 WILSHIRE BLVD STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101119",
"telephone_number": "213-484-1000",
"fax_number": "213-484-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3055 WILSHIRE BLVD STE 100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101119",
"telephone_number": "213-484-1000",
"fax_number": "213-484-2662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YONG",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2018-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A22626",
"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 May 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.