Stephen K. Kim M.D. a Medical Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

STEPHEN K. KIM M.D. A MEDICAL CORPORATION

Practice address

900 S Atlantic Blvd
Monterey Park, CA 91754-4716

Phone

(626) 570-9000

Fax

(626) 570-5775

NPI assigned

Aug 5, 2006

Last updated

Dec 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Kyo-Sung Kim, M.D.

Title

President

Phone

(909) 777-7413

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pao Y. Chiu, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1285686592
  NPD (past)
• Karine Gaboian, M.D.

  • General Practice Physician
  • Glendale, CA
  • NPI 1033135488
  NPD (past)
• Richard R Moy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lake Forest, CA
  • NPI 1700831971
  NPD (past)
• Otto Evans Stallworth, M.D.

  • Anesthesiology Physician
  • Hawthorne, CA
  • NPI 1639133747
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1447269816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60790",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911166790",
            "telephone_number": "626-795-6596",
            "fax_number": "626-795-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S ATLANTIC BLVD",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544716",
            "telephone_number": "626-570-9000",
            "fax_number": "626-570-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN K. KIM M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "KYO-SUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-777-7413",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G764330",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G764333",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Huachang Su, L.AC

• Anesthesiology Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.