Kenneth K Kim, a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G71557 Issued in CA

Legal business name

KENNETH K KIM, A MEDICAL CORPORATION

Practice address

520 S Virgil Ave
Suite 106
Los Angeles, CA 90020-1417

Phone

(213) 234-5575

Fax

(213) 427-9850

NPI assigned

Dec 23, 2011

Organization subpart

No

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

Authorized official

Name

Kenneth K Kim, M.D.NPI 1295776474

Title

President

Phone

(213) 234-5575

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth K Kim, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1295776474
  NPD (past) Authorized official

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1295004034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 741519",
            "address_2": "SUITE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041417",
            "telephone_number": "213-234-5575",
            "fax_number": "213-427-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S VIRGIL AVE",
            "address_2": "SUITE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201417",
            "telephone_number": "213-234-5575",
            "fax_number": "213-427-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH K KIM, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-234-5575",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G71557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth a. Geller, MD a Professional Corporation
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• Kenneth C. Cooper (K C Medical)
• Kenneth H Thomas MD Inc
• Kenneth K. Kim, M.D., a Professional Medical Corporation
• Kenneth Subotnik, PH.D., Inc
• Kenneth W Luther a Chiropracti (Mar Vista Institute of Health)
• Kenneth W. Cheng, DDS, Inc.
• Kenneth W. Luther Chiropractic Corp.

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, 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 Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.