NPIMap

Organization Active NPI

Chan and Kimn Medical Group

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1609682871
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CHAN AND KIMN MEDICAL GROUP
Practice address
3727 W 6TH St Ste 300
Los Angeles, CA 90020-5108
Phone
(213) 365-7400
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Eugene Kimn, MDNPI 1013209105
Title
Partner
Phone
(803) 319-0986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3727 W 6TH St Ste 300
Los Angeles, CA 90020-5108

Mailing address

21143 Hawthorne Blvd # 251
Torrance, CA 90503-4615
Phone (424) 587-0863

National Provider Directory

National Provider Directory

Locations

3727 W 6th St
Ste 300
Los Angeles, CA 90020
Phone (213) 365-7400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1609682871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21143 HAWTHORNE BLVD # 251",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034615",
            "telephone_number": "424-587-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 W 6TH ST STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205108",
            "telephone_number": "213-365-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAN AND KIMN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "KIMN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-319-0986",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "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 Dec 3, 2024; 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.