Sara H Kim MD a Medical Corporation

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

A71344 Issued in CA

Legal business name

SARA H KIM MD A MEDICAL CORPORATION

Practice address

381 Merrill Ave
Suite a
Glendale, CA 91206-4119

Phone

(818) 409-8198

Fax

(818) 956-7602

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sara H Kim, MD

Title

Ceo

Phone

(310) 500-9997

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1568601797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930620065",
            "telephone_number": "310-500-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 MERRILL AVE",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064119",
            "telephone_number": "818-409-8198",
            "fax_number": "818-956-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA H KIM MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-500-9997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A71344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Vengco Santos, DDS
• Katherine Rose Bernales Santos
• Yolanda Santos
• Santosha Health, Inc.
• Joanna Mary Saporito
• Artemis Saradjian, DMD
• Ida A Sarajian, OD
• Ferdinant Saran, MD
• Darshana Sarathchandra, M.D.
• Nune Saratikyan

• Radiation Oncology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.