Individual provider Active NPI

Sohyun Kim

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1316498249
Registry record updated Oct 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
68948 Issued in CA
Practice address
3030 W Olympic Blvd
#118
Los Angeles, CA 90006-6501
Phone
(213) 389-3030
Fax
(213) 739-2020
NPI assigned
Oct 15, 2016
Last updated
Oct 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 68948 CA Primary
Geriatric Pharmacist 1835G0303X 68948 CA

Addresses

Primary practice location

3030 W Olympic Blvd
#118
Los Angeles, CA 90006-6501

Mailing address

435 S Virgil Ave
Apt 105
Los Angeles, CA 90020-1400
Phone (213) 440-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
68948CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Drugs Past Accepting new patients
L a Pharmaceuticals Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1476489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476489600000",
    "number": "1316498249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 S VIRGIL AVE",
            "address_2": "APT 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201400",
            "telephone_number": "213-440-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W OLYMPIC BLVD",
            "address_2": "#118",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066501",
            "telephone_number": "213-389-3030",
            "fax_number": "213-739-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "SOHYUN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-15",
        "last_updated": "2016-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "68948",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "CA",
            "license": "68948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

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