JK Loomis Corp a Medical Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A9418 Issued in CA

Legal business name

JK LOOMIS CORP A MEDICAL CORP

Practice address

3851 Katella Ave Ste 275
Los Alamitos, CA 90720-3377

Phone

(562) 296-5528

Fax

(562) 296-8770

NPI assigned

Jan 9, 2012

Organization subpart

No

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

Authorized official

Name

Jennifer Kim-Loomis, DO

Title

Owner

Phone

(562) 296-5528

Specialties & licenses 1

Addresses

Other names 1

• Los Alamitos Family Health and Wellness Doing business as

Locations

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1316217375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE STE 275",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203377",
            "telephone_number": "562-296-5528",
            "fax_number": "562-296-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE STE 275",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203377",
            "telephone_number": "562-296-5528",
            "fax_number": "562-296-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK LOOMIS CORP A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "KIM-LOOMIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-296-5528",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Alamitos Family Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tae Hyung Ji, RPH
• Jingjie Xue Inc
• Aileen Etsuko Jitsumyo, DDS
• JJ Family Dental
• JJ Rodriguez M D Inc
• Jodie Knott, PH.D., Psychological Consulting, Inc.
• John H Kim DDS Dental Corporation
• John P Cole MD Inc
• Johnny L. Triplett M.D., Inc.
• Lauren Michele Johnson, PT, DPT

• Family Medicine Physician in Los Alamitos, CA
• Providers in Los Alamitos, 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 Apr 15, 2016; 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.