Olympia MSC Kim Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OLYMPIA MSC KIM CHIROPRACTIC, INC.

Practice address

3544 W Olympic Blvd Ste 202
Los Angeles, CA 90019-3532

Phone

(323) 733-8765

Fax

(323) 733-2564

NPI assigned

Jan 28, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Daniel H Kim, D.C., L.ACNPI 1518088608

Title

President

Phone

(323) 733-8765

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Daniel H Kim, D.C., LAC.

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1518088608

  Chiropractor

  Medicare reassignment NPD Authorized official
• Youn Jung Shin, L.AC.

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1548402035
  NPD (past)

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1447714019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 W OLYMPIC BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193532",
            "telephone_number": "323-733-8765",
            "fax_number": "323-733-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 W OLYMPIC BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193532",
            "telephone_number": "323-733-8765",
            "fax_number": "323-733-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA MSC KIM CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-733-8765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.AC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Olvera
• Maria R Olvera
• Sylvia Vanessa Olvera, M.D.
• Mojtaba Olyaie, M.D
• Olympia Health Care LLC
• Olympia Physical Therapy and Performance Inc
• Olympia Plaza Pharmacy Inc
• Olympic Imaging Services
• Olympic Imaging Services
• Olympic Rehabilitation Adhc, Site II

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.