Elizabeth Kim, MD, Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

047623 Issued in CT

Legal business name

ELIZABETH KIM, MD, INC.

Practice address

436 N Bedford Dr
#103
Beverly Hills, CA 90210-4310

Phone

(310) 247-1900

Fax

(888) 345-4399

NPI assigned

Jul 19, 2009

Last updated

Jun 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth M. Kim, MDNPI 1346306214

Title

Owner/Physician

Phone

(310) 247-1900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Miyoung Kim, MD

  • Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
  • NPI 1346306214
  Authorized official Same address or phone

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

{
    "created_epoch": "1247961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1801026372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 ASHCROFT AVE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900482401",
            "telephone_number": "310-247-1900",
            "fax_number": "888-345-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "#103",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-247-1900",
            "fax_number": "888-345-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH KIM, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-19",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "310-247-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CT",
            "license": "047623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.