Susan Choi Kim, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86078757 Issued in CA

Practice address

1516 San Pablo St Ste 200
Los Angeles, CA 90033-5313

Phone

(323) 442-9551

Fax

(323) 865-9202

NPI assigned

Jul 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1790303642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 HOLLYDALE DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392113",
            "telephone_number": "213-446-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 SAN PABLO ST STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-9551",
            "fax_number": "323-865-9202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3318 Hollydale Dr",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900392113",
            "country_code": "US",
            "telephone_number": "213-446-6762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "SUSAN",
        "middle_name": "CHOI",
        "name_prefix": "Ms.",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86078757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunjin Kim, AMFT
• Sunkyeom Kim, ACUPUNCTURIST
• Sunny Suneui Kim, L. AC
• Sunwook Kim, L.AC.
• Susan Kim, L.AC.
• Susan Y Kim, O.D.
• Suyoun Kim
• Suzy Kim, LMFT
• Tae Kim, DDS
• Tae Hee Kim, ACPUNCTURIST

• Registered Dietitian in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.