Individual provider Active NPI

Hyunseok Kim, MD

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1316575293
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A183453 Issued in CA
Practice address
3400 W Olympic Blvd Ste 207
Los Angeles, CA 90019-2351
Phone
(323) 402-0458
Fax
(323) 402-6508
NPI assigned
Mar 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A183453 CA Primary

Addresses

Primary practice location

3400 W Olympic Blvd Ste 207
Los Angeles, CA 90019-2351

Mailing address

3400 W Olympic Blvd Ste 207
Los Angeles, CA 90019-2351
Phone (323) 402-0458

Other practice location 1

23332 Hawthorne Blvd Ste 205
Torrance, CA 90505-3766
Phone (312) 928-9099

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A183453CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1316575293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W OLYMPIC BLVD STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900192351",
            "telephone_number": "323-402-0458",
            "fax_number": "323-402-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W OLYMPIC BLVD STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900192351",
            "telephone_number": "323-402-0458",
            "fax_number": "323-402-6508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23332 Hawthorne Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905053766",
            "country_code": "US",
            "telephone_number": "312-928-9099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYUNSEOK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A183453",
            "primary": true
        }
    ],
    "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 Dec 11, 2025; 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.