Individual provider Active NPI

Lanchi Vu Kim, M.S.

  • Audiologist
  • Cerritos, CA
National Provider Identifier
1629006234
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU2433 Issued in CA
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

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AU2433CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.