Active NPI
Iam-Dr.Clinic
- Special Hospital
- Los Angeles, CA
National Provider Identifier
1730630948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Special Hospital
- License
- AC11961
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.