Active NPI
Jisue Kim Coye, MD
- Pediatrics Physician
- Torrance, CA
National Provider Identifier
1659402071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A77163
- Practice address
- 20911 Earl St
Suite 100
Torrance, CA 90503-4352 - Phone
- (310) 370-7759
- Fax
- (310) 370-1590
- NPI assigned
- Mar 8, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A77163 | CA | Primary |
Addresses
Primary practice location
20911 Earl St
Suite 100
Torrance, CA 90503-4352
Mailing address
20911 Earl St
Suite 100
Torrance, CA 90503-4352
Phone (310) 370-7759
Other names 1
- Dr. Jisue Kim
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A77163 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Torrance Memorial Medical Center | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1659402071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20911 EARL ST",
"address_2": "SUITE 100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034352",
"telephone_number": "310-370-7759",
"fax_number": "310-370-1590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20911 EARL ST",
"address_2": "SUITE 100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034352",
"telephone_number": "310-370-7759",
"fax_number": "310-370-1590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYE",
"first_name": "JISUE",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A77163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JISUE",
"last_name": "KIM",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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- Christopher Cowing, CA EMT
- Georgia M. Cox, M.F.T.
- Diane R. Coy, R.N.P.
- Katrina Coy
- Cozie N Kanemaru & Rosemary Hum PTR (Kanemaru and Hum, Optometrists)
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.