Active NPI
Justin Kim, DPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1497521355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305800
- Practice address
- 4585 N Figueroa St
Los Angeles, CA 90065-3026 - Phone
- (323) 223-3441
- NPI assigned
- Nov 30, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 305800 | CA | Primary |
Addresses
Primary practice location
4585 N Figueroa St
Los Angeles, CA 90065-3026
Mailing address
1800 Beverly Blvd Apt 439
Los Angeles, CA 90057-5243
Phone (469) 274-3244
Other practice location 1
1100 W Stewart Dr
Orange, CA 92868-3849
Phone (714) 771-8000
Other practice location 2
2000 W Washington Blvd
Los Angeles, CA 90018-1637
Phone (323) 735-5146
Other names 1
- Jong Hyeon Kim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1385782 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1497521355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 BEVERLY BLVD APT 439",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900575243",
"telephone_number": "469-274-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4585 N FIGUEROA ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900653026",
"telephone_number": "323-223-3441"
}
],
"practiceLocations": [
{
"address_1": "1100 W Stewart Dr",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683849",
"country_code": "US",
"telephone_number": "714-771-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 W Washington Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900181637",
"country_code": "US",
"telephone_number": "323-735-5146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "JUSTIN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-30",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JONG",
"last_name": "KIM",
"middle_name": "HYEON",
"code": "1",
"type": "Former Name"
}
]
}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 Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.