Organization Active NPI

Iam-Dr.Clinic

  • Special Hospital
  • Los Angeles, CA
National Provider Identifier
1730630948
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
AC11961 Issued in CA
Legal business name
IAM-DR.CLINIC
Practice address
903 S. Crenshaw Blvd
302
Los Angeles, CA 90019-1914
Phone
(323) 889-9114
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Mr. Younkgan Kim
Title
Acupuncturist
Phone
(323) 889-9114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X AC11961 CA Primary

Addresses

Primary practice location

903 S. Crenshaw Blvd
302
Los Angeles, CA 90019-1914

Mailing address

903 Crenshaw Blvd
302
Los Angeles, CA 90019-1964
Phone (323) 889-9114

National Provider Directory

National Provider Directory

Locations

903 Crenshaw Blvd
Ste 302
Los Angeles, CA 90019
Phone (323) 731-0681

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1730630948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD",
            "address_2": "302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191964",
            "telephone_number": "323-889-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S. CRENSHAW BLVD",
            "address_2": "302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191914",
            "telephone_number": "323-889-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAM-DR.CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNKGAN",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "323-889-9114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": "AC11961",
            "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 Oct 24, 2016; 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.