Organization Active NPI

Kangnam Therapy Inc

  • Physical Therapist
  • Los Angeles, CA
National Provider Identifier
1831491075
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KANGNAM THERAPY INC
Practice address
658 S Bonnie Brae St FL 1
Los Angeles, CA 90057-3710
Phone
(213) 703-1848
NPI assigned
Nov 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
In Kyung Park
Title
President
Phone
(213) 703-1848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

658 S Bonnie Brae St FL 1
Los Angeles, CA 90057-3710

Mailing address

658 S Bonnie Brae St FL 1
Los Angeles, CA 90057-3710

National Provider Directory

National Provider Directory

Locations

658 S Bonnie Brae St
#1
Los Angeles, CA 90057
Phone (213) 353-9721

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1831491075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 S BONNIE BRAE ST FL 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 S BONNIE BRAE ST FL 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573710",
            "telephone_number": "213-703-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANGNAM THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "IN",
        "authorized_official_middle_name": "KYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-703-1848"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.