Organization Active NPI

Kdoc Inc

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1477247435
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
KDOC INC
Practice address
2727 W Olympic Blvd Ste 208
Los Angeles, CA 90006-2640
Phone
(213) 908-6434
Fax
(213) 908-5986
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Dr. Jae Hyung Cho, MDNPI 1407165434
Title
Medical Director / Owner
Phone
(213) 908-6434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2727 W Olympic Blvd Ste 208
Los Angeles, CA 90006-2640

Mailing address

2727 W Olympic Blvd Ste 208
Los Angeles, CA 90006-2640
Phone (213) 908-6434

Other names 1

  • Jae Hyung Cho, MD Cardiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230721001545 CA Part B Supplier - Clinic/Group Practice 6002276045 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2318101Jae Hyung Cho, MD Cardiology2727 W Olympic Blvd Ste 208, Los Angeles, CA 90006Certificate of waiverFeb 4, 2027

National Provider Directory

National Provider Directory

Locations

288 N Santa Anita Ave
#103
Arcadia, CA 91006

11525 Brookshire Ave
Ste 210A
Downey, CA 90241

2727 W Olympic Blvd
Los Angeles, CA 90006

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1477247435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062640",
            "telephone_number": "213-908-6434",
            "fax_number": "213-908-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062640",
            "telephone_number": "213-908-6434",
            "fax_number": "213-908-5986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "JAE HYUNG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR / OWNER",
        "authorized_official_telephone_number": "213-908-6434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jae Hyung Cho, MD Cardiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jae Hyung Cho, MD Cardiology",
            "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 Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.