Chong U Kim MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A54806 Issued in CA

Legal business name

CHONG U KIM MD INC

Practice address

23430 Hawthorne Blvd
Suite 325
Torrance, CA 90505-4720

Phone

(310) 705-8323

Fax

(310) 683-6321

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Chong U. Kim, M.D.NPI 1528034485

Title

Ceo

Phone

(310) 372-1185

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chong U Kim, MD

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1528034485
  Medicare reassignment NPD Authorized official
• Maneesh Suresh Penkar, M.D.

  • Internal Medicine Physician
  • Torrance, CA
  • NPI 1639480247
  Medicare reassignment NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1447379508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD",
            "address_2": "SUITE 325",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054720",
            "telephone_number": "310-705-8323",
            "fax_number": "310-683-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD",
            "address_2": "SUITE 325",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054720",
            "telephone_number": "310-705-8323",
            "fax_number": "310-683-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHONG U KIM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHONG",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-372-1185",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Youngjin Choi, MD
• Mark Sukjoon Choi
• Patrick Kim Choi, MD
• Yoonho Edward Choi, L.AC.
• Deborah Chon, M.D.
• Terry Chong
• Vincent Edward Chong, MD, MS
• Sylvia Choo, MD
• Jeena Chorath, M.D.
• Diana Tai-Ying Chou, PSY.D.

• Internal Medicine Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.