Individual provider Active NPI

Christopher Sung-Bo Kim, M.D.

  • Surgery Physician
  • Torrance, CA
National Provider Identifier
1588155477
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A174317 Issued in CA
Practice address
1000 W Carson St
Torrance, CA 90502
Phone
(424) 306-8070
NPI assigned
May 25, 2018
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A174317 CA Primary
Phlebology Physician 202K00000X A174317 CA

Addresses

Primary practice location

1000 W Carson St
Torrance, CA 90502

Mailing address

3663 W 6TH St Ste 103
Los Angeles, CA 90020-3047

Other practice location 1

3663 W 6th St Ste 103
Los Angeles, CA 90020-3047
Phone (213) 654-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211018002504 CA Practitioner - General Surgery 4284980475 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Village Vein Clinic PCGroup PAC ID 0143409862, 2 clinicians
Crescent Wound Care IncGroup PAC ID 3274914502, 29 clinicians
Aasin TareenGroup PAC ID 1153767876, 6 clinicians
West Hollywood Vein Clinic PCGroup PAC ID 0446413090, 4 clinicians
Glendale Vein Clinic PCGroup PAC ID 6608191762, 3 clinicians

Practice addresses (Care Compare)

12840 Riverside Dr
Suite 300
Valley Village, CA 91607-3337
Phone (323) 798-1800

1310 W Granger Ave
Modesto, CA 95350-3911
Phone (858) 967-3070

23365 Hawthorne Blvd
Suite 101
Torrance, CA 90505-3736
Phone (310) 326-0202

614 Wilcox Ave
Los Angeles, CA 90004-1113
Phone (714) 345-4288

7901 Santa Monica Blvd
Suite 101
West Hollywood, CA 90046-5178
Phone (323) 486-8101

7901 Santa Monica Blvd
Suite 209
West Hollywood, CA 90046-5180
Phone (323) 798-1800

800 S Central Ave
Suite 305a
Glendale, CA 91204-4644
Phone (323) 284-6337

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal543
Removal of tissue207
Removal of skin lesions30
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A174317CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E.T. Foot & Ankle CurrentSince May 27, 2024 Accepting new patients
Glendale Vein Clinic, PC CurrentSince Feb 11, 2022 Accepting new patients
All South Bay Footcare Podiatry Group, Inc. CurrentSince May 27, 2024 Accepting new patients
Vein and Wound Center of la Surgery CurrentSince May 15, 2025 Accepting new patients
Albert Elhiani DPM Inc CurrentSince May 27, 2024 Accepting new patients
Valley Village Vein Clinic PC CurrentSince Feb 11, 2022 Accepting new patients
Vohra Wound Physicians of Ca, P.C. CurrentSince Oct 4, 2021 Accepting new patients
Crescent Wound Care Inc CurrentSince Feb 1, 2024 Accepting new patients
West Hollywood Vein Clinic PC CurrentSince Feb 11, 2022 Accepting new patients
Crescent Wound Care Inc CurrentSince Feb 1, 2024 Accepting new patients
Michael K McLean MD Inc Past Accepting new patients
Crescent Wound Care Inc Surgery Past Accepting new patients
USA Vascular Centers of Los Angeles, PC PastSince Sep 1, 2015 Accepting new patients

Locations

9028 Rose St
Bellflower, CA 90706
Phone (562) 925-4252

442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311

800 S Central Ave
Ste 305A
Glendale, CA 91204
Phone (323) 284-6337

18682 Beach Blvd
Ste 155
Huntington Beach, CA 92648
Phone (714) 462-2522

5580 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 438-4119

3663 W 6th St
Ste 103
Los Angeles, CA 90020
Phone (213) 388-5144

9340 W Pico Blvd
Ste 2
Los Angeles, CA 90035
Phone (510) 457-1463

1310 W Granger Ave
Modesto, CA 95350
Phone (209) 473-3896

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

1630 N Edison St
Stockton, CA 95204
Phone (209) 948-8762

23365 Hawthorne Blvd
Ste 101
Torrance, CA 90505
Phone (310) 326-0202

12840 Riverside Dr
Ste 300
Valley Vlg, CA 91607
Phone (323) 798-1800

7901 Santa Monica Blvd
Ste 101
West Hollywood, CA 90046
Phone (323) 486-8101

7901 Santa Monica Blvd
Ste 209
West Hollywood, CA 90046
Phone (323) 650-9883

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1588155477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 W 6TH ST STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90502",
            "telephone_number": "424-306-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3663 W 6th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900203047",
            "country_code": "US",
            "telephone_number": "213-654-8346",
            "fax_number": "213-315-6015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTOPHER",
        "middle_name": "SUNG-BO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A174317",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "CA",
            "license": "A174317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.