Byum Suk Kim, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC30749 Issued in CA

Practice address

3240 Wilshire BL
#240
Los Angeles, CA 90010

Phone

(213) 365-0212

Fax

(213) 365-0480

NPI assigned

Dec 6, 2007

Last updated

Nov 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael Suk Kim Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1558544080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 WILSHIRE BL",
            "address_2": "#240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90010",
            "telephone_number": "213-365-0212",
            "fax_number": "213-365-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 WILSHIRE BL",
            "address_2": "#240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90010",
            "telephone_number": "213-365-0212",
            "fax_number": "213-365-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BYUM",
        "middle_name": "SUK",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11901787",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "KIM",
            "middle_name": "SUK",
            "credential": "D.C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bryan Jordan Kim, MD
• Bu Kum Kim, L.AC
• Bu Won Kim, L.AC.
• Byoung Sik Kim, O.M.D.
• Byoungsoo Kim, DDS
• Byung Chul Kim, D.D.S
• Calvin A. Kim, MD
• Caroline A. Kim, M.D.
• Caroline Sohee Kim, PA-C
• Caron R. Kim

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.