Universal Specialties Medical Group, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A32370 Issued in CA

Legal business name

UNIVERSAL SPECIALTIES MEDICAL GROUP, P.C.

Practice address

440 Shatto PL
2ND Floor #208
Los Angeles, CA 90020-1765

Phone

(213) 536-4242

Fax

(866) 438-5974

NPI assigned

Nov 2, 2009

Organization subpart

No

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

Authorized official

Name

Tae Soon Kim, M.D.

Title

President

Phone

(213) 536-4242

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• REHABCARE MEDICAL GROUP Doing business as

Locations

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1639405293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SHATTO PL",
            "address_2": "2ND FLOOR #208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201765",
            "telephone_number": "213-536-4242",
            "fax_number": "866-438-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SHATTO PL",
            "address_2": "2ND FLOOR #208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201765",
            "telephone_number": "213-536-4242",
            "fax_number": "866-438-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL SPECIALTIES MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TAE",
        "authorized_official_middle_name": "SOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-536-4242",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A32370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD",
            "identifier": "A32370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REHABCARE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Universal Medical Transportation, Inc.
• Universal MRI & CT Inc
• Universal MRI & CT Inc
• Universal Psychiatry and Addiction Care Services
• Universal Rehabilitation, Inc.
• Universal Translation Services, LLC
• Universal Translation Source Inc
• University Advance Bioimaging Associates
• University Cardiovascular Medical Group
• University Care RX Inc

• Physical Medicine & Rehabilitation Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.