Organization Active NPI

Elizabeth Kim, MD, Inc.

  • Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1801026372
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Dr. Elizabeth M. Kim, MD
Title
Owner/Physician
Phone
(310) 247-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 047623 CT Primary

Addresses

Primary practice location

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

Mailing address

8833 Ashcroft Ave
West Hollywood, CA 90048-2401
Phone (310) 247-1900

National Provider Directory

National Provider Directory

Locations

430 N Bedford Dr
#103
Beverly Hills, CA 90210
Phone (310) 247-1900

NPI Registry JSON

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": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • 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.