Garry K. Kim, M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A67703 Issued in CA

Legal business name

GARRY K. KIM, M.D., INC.

Practice address

50 Bellefontaine St
Suite 305
Pasadena, CA 91105-3132

Phone

(626) 795-0415

Fax

(626) 795-0475

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Garry Kim, M.D.

Title

Owner

Phone

(626) 795-0415

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1811184310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BELLEFONTAINE ST",
            "address_2": "SUITE 305",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053132",
            "telephone_number": "626-795-0415",
            "fax_number": "626-795-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BELLEFONTAINE ST",
            "address_2": "SUITE 305",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053132",
            "telephone_number": "626-795-0415",
            "fax_number": "626-795-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRY K. KIM, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-795-0415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A67703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sree Neelima Garimella, MD
• Gwen P. Garis
• Jasmine Garnica
• Scott Ryan Garrels, PH.D.
• Suzanne M Garrett, LCSW
• Olga Garshyna, MD
• Andrew Paul Garside
• Sabrina Garson, MSW, LCSW
• Gary Tang Dental Inc
• Jennie Weinkle Gary, M.D.

• Internal Medicine Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.