Organization Active NPI

Kunwoo L Kim

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1356485304
Registry record updated Nov 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50784 Issued in CA
Legal business name
KUNWOO L KIM
Practice address
3130 W Olympic Blvd
Suite 150
Los Angeles, CA 90006-2484
Phone
(323) 732-1911
Fax
(323) 732-6917
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2012

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

Authorized official

Name
Mr. Kunwoo L Kim
Title
Owner
Phone
(323) 732-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY50784 CA Primary

Addresses

Primary practice location

3130 W Olympic Blvd
Suite 150
Los Angeles, CA 90006-2484

Mailing address

3130 W Olympic Blvd
Suite 150
Los Angeles, CA 90006-2484
Phone (323) 732-1911

Other identifiers 1

IdentifierTypeStateIssuer
05-45268OtherCANCPDP

Other names 1

  • Harvard Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3130 W Olympic Blvd
Ste 150
Los Angeles, CA 90006
Phone (323) 732-1911

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351900800000",
    "number": "1356485304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 W OLYMPIC BLVD",
            "address_2": "SUITE 150",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062484",
            "telephone_number": "323-732-1911",
            "fax_number": "323-732-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 W OLYMPIC BLVD",
            "address_2": "SUITE 150",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062484",
            "telephone_number": "323-732-1911",
            "fax_number": "323-732-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNWOO L KIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2012-11-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KUNWOO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-732-1911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "05-45268",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harvard Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 3, 2012; 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.