Organization Active NPI

Enterprise Clinical Solutions Inc

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1578144259
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ENTERPRISE CLINICAL SOLUTIONS INC
Practice address
889 Francisco St Unit 2702
Los Angeles, CA 90017-3652
Phone
(617) 416-6894
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Dr. Andrew Heejoon Kim, MD
Title
Owner
Phone
(617) 416-6894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

889 Francisco St Unit 2702
Los Angeles, CA 90017-3652

Mailing address

889 Francisco St Unit 2702
Los Angeles, CA 90017-3652
Phone (617) 416-6894

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1578144259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "889 FRANCISCO ST UNIT 2702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173652",
            "telephone_number": "617-416-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 FRANCISCO ST UNIT 2702",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173652",
            "telephone_number": "617-416-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISE CLINICAL SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "HEEJOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-416-6894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.