Organization Active NPI

Hose Kim MD Inc

  • Orthopaedic Surgery Physician
  • Whittier, CA
National Provider Identifier
1497748065
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G058070 Issued in CA
Legal business name
HOSE KIM MD INC
Practice address
6712 Friends Ave
Whittier, CA 90601-4432
Phone
(562) 945-8873
Fax
(562) 945-4324
NPI assigned
Aug 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Dr. Hose Kim, MDNPI 1710107842
Title
Owner
Phone
(562) 945-8873

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
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X G058070 CA Primary

Addresses

Primary practice location

6712 Friends Ave
Whittier, CA 90601-4432

Mailing address

6712 Friends Ave
Whittier, CA 90601-4432
Phone (562) 945-8873

Other identifiers 1

IdentifierTypeStateIssuer
00G580701MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050726001118 CA Part B Supplier - Clinic/Group Practice 1951338433 Receives reassigned benefits from 1 practitioner
Practice locations: Whittier, CA
O20100930022539 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1951338433 Practice locations: Whittier, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

7205 Greenleaf Ave
Ste B
Whittier, CA 90602
Phone (562) 945-8873

6712 Friends Ave
Whittier, CA 90601
Phone (562) 945-2161

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": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1497748065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 FRIENDS AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014432",
            "telephone_number": "562-945-8873",
            "fax_number": "562-945-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 FRIENDS AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906014432",
            "telephone_number": "562-945-8873",
            "fax_number": "562-945-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSE KIM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-945-8873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G058070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G580701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.