Janice Park Kim, M.D. Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

G70428 Issued in CA

Legal business name

JANICE PARK KIM, M.D. INC.

Practice address

435 Arden Ave
#435
Glendale, CA 91203-1130

Phone

(818) 246-4936

Fax

(818) 246-4937

NPI assigned

Nov 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Janice Park Kim, M.D.

Title

President

Phone

(818) 246-4936

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1528240942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE",
            "address_2": "#435",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031130",
            "telephone_number": "818-246-4936",
            "fax_number": "818-246-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 ARDEN AVE",
            "address_2": "#435",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031130",
            "telephone_number": "818-246-4936",
            "fax_number": "818-246-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE PARK KIM, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "PARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-246-4936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G70428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.