Terrence Kim MD a Medical

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

A103614 Issued in CA

Legal business name

TERRENCE KIM MD A MEDICAL

Practice address

444 S San Vicente Blvd
Suite #800
Los Angeles, CA 90048-4165

Phone

(310) 423-9716

Fax

(310) 423-9767

NPI assigned

May 27, 2014

Last updated

Jul 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Terrence T Kim, M.D.NPI 1407990955

Title

President

Phone

(310) 423-9716

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Terrence T. Kim, MD

  • Orthopaedic Surgery of the Spine Physician
  • Los Angeles, CA
  • NPI 1407990955
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1518379494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SHELDON ST",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902453915",
            "telephone_number": "310-322-4278",
            "fax_number": "310-322-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD",
            "address_2": "SUITE #800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484165",
            "telephone_number": "310-423-9716",
            "fax_number": "310-423-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRENCE KIM MD A MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-423-9716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A103614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pariss Terrell-Velasquez
• Makayla Terrell
• Michal Jackson Terrell, LMFT
• Tamyra Terrell
• Tierra Terrell
• Terrill Haws Family Medicine Clinic Inc
• Traci Terrill
• Terrin E. Martin, M.D., a Medical Corp
• Sarahy Terriquez
• Mary Carol Territo, MD

• Orthopaedic Surgery of the Spine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.