Active NPI
Suh Hee Kim, NP
- Adult Medicine Physician
- Los Angeles, CA
National Provider Identifier
1831671411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- NP95008652
- Practice address
- 3663 W 6TH St Ste 103
Los Angeles, CA 90020-3047 - Phone
- (213) 388-5144
- Fax
- (213) 388-5154
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | NP95008652 | CA | Primary |
Addresses
Primary practice location
3663 W 6TH St Ste 103
Los Angeles, CA 90020-3047
Mailing address
3663 W 6TH St Ste 103
Los Angeles, CA 90020-3047
Phone (213) 388-5144
Other practice location 1
3663 W 6th St Ste 305
Los Angeles, CA 90020-3050
Phone (213) 427-7020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP95008652 | Other | CA | NP LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95008652 | CA | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1831671411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3663 W 6TH ST STE 103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203047",
"telephone_number": "213-388-5144",
"fax_number": "213-388-5154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 W 6TH ST STE 103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203047",
"telephone_number": "213-388-5144",
"fax_number": "213-388-5154"
}
],
"practiceLocations": [
{
"address_1": "3663 W 6th St Ste 305",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900203050",
"country_code": "US",
"telephone_number": "213-427-7020",
"fax_number": "213-427-7029",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIM",
"first_name": "SUH HEE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "NP95008652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE",
"identifier": "NP95008652",
"state": "CA"
}
],
"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 Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.