Il Young Kim MD Facc a Medical Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A33707 Issued in CA

Legal business name

IL YOUNG KIM MD FACC A MEDICAL CORP

Practice address

3919 Beverly Blvd
#100
Los Angeles, CA 90004-3432

Phone

(323) 662-1175

Fax

(323) 662-7817

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Il Young Kim, M.D.

Title

President

Phone

(323) 662-1175

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• I.Y.KiM,m.d., F.A.C.C. Other name

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1316130099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 BEVERLY BLVD",
            "address_2": "#100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043432",
            "telephone_number": "323-662-1175",
            "fax_number": "323-662-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 BEVERLY BLVD",
            "address_2": "#100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043432",
            "telephone_number": "323-662-1175",
            "fax_number": "323-662-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IL YOUNG KIM MD FACC A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "IL",
        "authorized_official_middle_name": "YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-662-1175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A33707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "A33707",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I.Y.KiM,m.d., F.A.C.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ikjae Acupuncture & Herbs Clinic Inc.
• Uchenna Hope Ikobi
• Michelle Ikoma, D.D.S.
• Shohei Ikoma, M.D.
• Ndy Ikwuagwu
• Armi Ilada, M.D.
• Shlomi Ilan, MD
• Dorit Susan Ilani, PH.D.
• Christine M Ilano, PTA
• Raymund Ilejay

• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.