John Kim M.D. a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G66684 Issued in CA

Legal business name

JOHN KIM M.D. A PROFESSIONAL CORPORATION

Practice address

11911 Artesia Blvd
Suit #101
Cerritos, CA 90701-4065

Phone

(562) 402-7622

Fax

(562) 402-2452

NPI assigned

May 19, 2014

Organization subpart

No

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

Authorized official

Name

John S. Kim, M.D.

Title

President

Phone

(562) 402-7622

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1235540741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 ARTESIA BLVD",
            "address_2": "SUIT #101",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907014065",
            "telephone_number": "562-402-7622",
            "fax_number": "562-402-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 ARTESIA BLVD",
            "address_2": "SUIT #101",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907014065",
            "telephone_number": "562-402-7622",
            "fax_number": "562-402-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KIM M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-402-7622",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G66684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Joelle, M.S., CCC-SLP
• Anne C Johansen, PHD MFCC
• Ian Thomas Johansen, PH.D.
• Robert N Johansen, PHD
• Johar Companies Inc
• Stephan Johnson King
• Doneka Johnson
• Jaelyn Johnson
• Lonzo Johnson
• Lorraine Monica Johnson, D.C.

• Family Medicine Physician in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.