CK Plastic Surgery Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CK PLASTIC SURGERY INC

Practice address

2970 W Olympic Blvd
Suite 204 & 205
Los Angeles, CA 90006-2518

Phone

(213) 382-4900

Fax

(213) 382-4909

NPI assigned

Dec 21, 2015

Last updated

Dec 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kyoung Kim, M.D.NPI 1801971478

Title

Ceo

Phone

(213) 382-4900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyoung Chol Kim, MD

  • Plastic and Reconstructive Surgery Physician
  • Los Angeles, CA
  • NPI 1801971478
  NPD (past) Authorized official

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1215392055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 W OLYMPIC BLVD",
            "address_2": "SUITE 204 & 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062518",
            "telephone_number": "213-382-4900",
            "fax_number": "213-382-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 W OLYMPIC BLVD",
            "address_2": "SUITE 204 & 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062518",
            "telephone_number": "213-382-4900",
            "fax_number": "213-382-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK PLASTIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KYOUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-382-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citywide Mental Health, a Nursing Corporation
• Liliana Ciuca
• Fulvia Ciudad-Real
• Rachel Civen
• Civic Passage Foundation
• CK Spinal Health Center
• Christina Marie Clack, PNP (C)
• Ashlynn Clady
• Briuana Jennet Clady
• Cassandra Gaye Claiborne, NURSE

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.