Somi Kim, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12592T Issued in CA

Legal business name

SOMI KIM, O.D., INC.

Practice address

3053 W Olympic Blvd Ste 105
Los Angeles, CA 90006-2558

Phone

(213) 736-0066

Fax

(213) 736-5535

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Somi Kim, O.D.

Title

Owner

Phone

(213) 736-0066

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Herbert Keiji Wakamatsu, OD

  • Optometrist
  • Los Angeles, CA
  • NPI 1073550976
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1306003686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 W OLYMPIC BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062558",
            "telephone_number": "213-736-0066",
            "fax_number": "213-736-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 W OLYMPIC BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062558",
            "telephone_number": "213-736-0066",
            "fax_number": "213-736-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMI KIM, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-736-0066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12592T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0125920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keerthan Somanath, M.D.
• Jenna Nicole Somasundaram, DPT
• Orit Somekhian, L.AC.
• Raffy Salud Somera, APRN
• Clotella Nikki Somerville
• Valerie Soeberg Sommer
• Kelly Ann Sommers, PA
• Shannon Sommers, M.D.
• Margarita I Somova, MD
• Sakaoporn Somsri, FNP

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.