JKC Neurology Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A44986 Issued in CA

Legal business name

JKC NEUROLOGY MEDICAL GROUP INC

Practice address

3550 Wilshire Blvd Ste 650
Los Angeles, CA 90010-2440

Phone

(213) 487-3060

Fax

(213) 388-7168

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kyung Ku Cho, M.DNPI 1154359487

Title

President

Phone

(213) 487-3060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Kyung K Cho, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1154359487
  Medicare reassignment NPD Authorized official
• Je Deuk Ko, M.D. PH.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1356792758
  Medicare reassignment NPD

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1720536923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 WILSHIRE BLVD STE 650",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102440",
            "telephone_number": "213-487-3060",
            "fax_number": "213-388-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 WILSHIRE BLVD STE 650",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102440",
            "telephone_number": "213-487-3060",
            "fax_number": "213-388-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKC NEUROLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "KYUNG",
        "authorized_official_middle_name": "KU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-487-3060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A44986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• JMC Drug Inc.
• JMC Pharmacy, Inc.
• JMK Residential Facility
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• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.