Tae Hyung Kim

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

12440 Imperial Hwy Ste 116
Norwalk, CA 90650

Phone

(800) 854-7771

NPI assigned

Jul 11, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1295090645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 IMPERIAL HWY STE 116",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906508347",
            "telephone_number": "800-854-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 IMPERIAL HWY STE 116",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "800-854-7771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 W Olympic Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900151475",
            "country_code": "US",
            "telephone_number": "213-553-1884",
            "fax_number": "213-236-9662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "TAE HYUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW32717",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Heejin Kim
• Jonathan Yonghwan Kim, D.C.
• Peter P J Kim, DO
• Seokmin Kim
• Sunghuen Kenji Kim, L.AC
• Brelyn King
• Nia King, LCSW
• Kristina Kioskerides
• Makayla Klasey
• Matthew Paul Kloeris

• Case Manager/Care Coordinator in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.