Chanyong Kim, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC002004 Issued in CA

Practice address

8723 Alden Dr
3Rd Floor, Room 305
Los Angeles, CA 90048-3692

Phone

(424) 315-1180

NPI assigned

Jan 6, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tina Kim Other 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": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1619834389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8723 ALDEN DR",
            "address_2": "3RD FLOOR, ROOM 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483692",
            "telephone_number": "424-315-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8723 ALDEN DR",
            "address_2": "3RD FLOOR, ROOM 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483692",
            "telephone_number": "424-315-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHANYONG",
        "name_prefix": "Miss",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC002004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "KIM",
            "credential": "CGC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cecilia Sue-Youn Kim, MD
• Chaehyong Kim, HAD
• Chang H Kim, OD
• Chang Kyoum Kim, L.AC
• Chang Yoon Kim, M.D.
• Chanyoung Kim
• Charlton Kim, M.D.
• Cheryl Eunu Kim
• Cheyeon Kim
• Chin Kim, ACUPUNCTURIST

• Genetic Counselor (M.S.) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.