Richard B Kim, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A107769 Issued in CA

Practice address

1201 S Redondo Blvd
Los Angeles, CA 90019-1547

Phone

(213) 595-8122

NPI assigned

Jul 16, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1235570466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7864 WILLOUGHBY AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467225",
            "telephone_number": "213-595-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S REDONDO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191547",
            "telephone_number": "213-595-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "RICHARD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A107769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Simon Kim, DPM, MS
• Phillip Jung-Wan Kim, D.C.
• Rachel Jungyun Kim, DO
• Rachel Seunah Kim, MD
• Reuben Han-Kyu Kim, DDS
• Richard Yeon Kim, M.D.
• Robin Dong Sik Kim, LAC
• Robin Edward Kim
• Romina Kim
• Rosa Jinsook Kim, A.C.

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.