Active NPI
Lanchi Vu Kim, M.S.
- Audiologist
- Cerritos, CA
National Provider Identifier
1629006234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU2433
- Practice address
- 11360 183Rd St
Cerritos, CA 90703-5419 - Phone
- (562) 809-2167
- Fax
- (562) 809-8497
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU2433 | CA | Primary |
Addresses
Primary practice location
11360 183Rd St
Cerritos, CA 90703-5419
Mailing address
11360 183Rd St
Cerritos, CA 90703-5419
Phone (562) 809-2167
Other practice location 1
13512 Whittier Blvd # G-3
Whittier, CA 90605-1934
Phone (562) 693-6106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU2433 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearx West, LLC | Past | Accepting new patients | |
| Hearx West Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Bakersfield, CA
- NPI 1336304922
-
- Audiologist-Hearing Aid Fitter
- Bakersfield, CA
- NPI 1356398598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1629006234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11360 183RD ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907035419",
"telephone_number": "562-809-2167",
"fax_number": "562-809-8497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11360 183RD ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907035419",
"telephone_number": "562-809-2167",
"fax_number": "562-809-8497"
}
],
"practiceLocations": [
{
"address_1": "13512 Whittier Blvd # G-3",
"address_purpose": "LOCATION",
"city": "Whittier",
"state": "CA",
"postal_code": "906051934",
"country_code": "US",
"telephone_number": "562-693-6106",
"fax_number": "562-693-6384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "LANCHI",
"middle_name": "VU",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU2433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.