Organization Active NPI

Ehk Medical Corp

  • Foot & Ankle Surgery Podiatrist
  • Los Angeles, CA
National Provider Identifier
1720124274
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4062 Issued in CA
Legal business name
EHK MEDICAL CORP
Practice address
1245 Wilshire Blvd Ste 810
Los Angeles, CA 90017-4808
Phone
(213) 365-1000
Fax
(213) 365-2177
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Authorized official

Name
Edward H. Kim, D.P.M.NPI 1346264595
Title
Owner
Phone
(213) 365-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E4062 CA Primary

Addresses

Primary practice location

1245 Wilshire Blvd Ste 810
Los Angeles, CA 90017-4808

Mailing address

1245 Wilshire Blvd Ste 810
Los Angeles, CA 90017-4808
Phone (213) 365-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090820000257 CA Part B Supplier - Clinic/Group Practice 1850286402 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

8420 Wilshire Blvd
Beverly Hills, CA 90211
Phone (310) 903-1043

434 S San Vicente Blvd
Fl 2
Los Angeles, CA 90048
Phone (213) 365-1000

3663 W 6th St
Ste 202
Los Angeles, CA 90020
Phone (213) 365-1000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1720124274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 810",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174808",
            "telephone_number": "213-365-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 810",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174808",
            "telephone_number": "213-365-1000",
            "fax_number": "213-365-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHK MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-365-1000",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.