Kenneth K. Kim, M.D., a Professional Medical Corporation

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A81964 Issued in CA

Legal business name

KENNETH K. KIM, M.D., A PROFESSIONAL MEDICAL CORPORATION

Practice address

5757 Wilshire Blvd
Suite 348
Los Angeles, CA 90036-5810

Phone

(213) 700-4297

Fax

(323) 424-4080

NPI assigned

Dec 2, 2008

Organization subpart

No

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

Authorized official

Name

Kenneth K. Kim, M.D.NPI 1952473274

Title

Ceo

Phone

(310) 882-8482

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Kenneth Kwanyoung Kim, MD

  • Plastic and Reconstructive Surgery Physician
  • Culver City, CA
  • NPI 1952473274
  Authorized official Same address or phone

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1447495627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD",
            "address_2": "SUITE 348",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365810",
            "telephone_number": "213-700-4297",
            "fax_number": "323-424-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD",
            "address_2": "SUITE 348",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365810",
            "telephone_number": "213-700-4297",
            "fax_number": "323-424-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH K. KIM, M.D., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-882-8482",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A81964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A81964",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth C Nieberg MD Inc
• Kenneth C Nieberg MD Inc
• Kenneth C. Cooper (K C Medical)
• Kenneth H Thomas MD Inc
• Kenneth K Kim, a Medical Corporation
• Kenneth Subotnik, PH.D., Inc
• Kenneth W Luther a Chiropracti (Mar Vista Institute of Health)
• Kenneth W. Cheng, DDS, Inc.
• Kenneth W. Luther Chiropractic Corp.
• Brittney Kenney

• Plastic Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.