Dennis H Kim MD Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A86556 Issued in CA

Legal business name

DENNIS H KIM MD INC

Practice address

414 N Camden Dr
Suite 650
Beverly Hills, CA 90210-4532

Phone

(310) 278-1594

Fax

(310) 278-4288

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Dennis H Kim, M.D.NPI 1598813511

Title

President

Phone

(310) 278-1594

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Dennis H. Kim, MD

  • Urology Physician
  • Los Angeles, CA
  • NPI 1598813511
  Medicare reassignment NPD Authorized official
• Amit Gupta, MD

  • Urology Physician
  • Los Angeles, CA
  • NPI 1548464332
  NPD

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1760629521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR",
            "address_2": "SUITE 650",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104532",
            "telephone_number": "310-278-1594",
            "fax_number": "310-278-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR",
            "address_2": "SUITE 650",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104532",
            "telephone_number": "310-278-1594",
            "fax_number": "310-278-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS H KIM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-278-1594",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A86556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Demeter, PSY.D.
• Shea Denmark, PA-C
• Andrew Nicholas Dennett, LCSW
• Dennis Bang, M.D. Inc.
• Dennis Evangelatos,M.D.,Inc.
• Neal Deot, MD
• Rachele M Dependahl, RD
• Derek T Dee MD a Professional Corporation
• Derek Tow DMD, MD Inc
• Derenik Estepanian, M.D., Inc.

• Urology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.