Organization Active NPI

Philip Kim MD, Inc

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1225790835
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PHILIP KIM MD, INC
Practice address
701 N Alvarado St FL 1
Los Angeles, CA 90026-4005
Phone
(213) 322-2021
NPI assigned
Oct 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Authorized official

Name
Philip Kim, MD
Title
Director
Phone
(213) 322-2021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

701 N Alvarado St FL 1
Los Angeles, CA 90026-4005

Mailing address

701 N Alvarado St FL 1
Los Angeles, CA 90026-4005
Phone (213) 322-2021

Other identifiers 1

IdentifierTypeStateIssuer
A166209OtherCAMEDICAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1225790835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N ALVARADO ST FL 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264005",
            "telephone_number": "213-322-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N ALVARADO ST FL 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264005",
            "telephone_number": "213-322-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP KIM MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "213-322-2021",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "A166209",
            "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 Oct 11, 2021; 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.