Organization Active NPI

Essence Plastic & Reconstructive Surgery

  • Surgery of the Hand (Plastic Surgery) Physician
  • Los Angeles, CA
National Provider Identifier
1841402492
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
A55811 Issued in CA
Legal business name
ESSENCE PLASTIC & RECONSTRUCTIVE SURGERY
Practice address
5757 Wilshire Blvd Ste 374
Los Angeles, CA 90036-3683
Phone
(323) 525-1733
Fax
(323) 525-1850
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bill Kim, M.D.NPI 1669541017
Title
Owner
Phone
(323) 525-1733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2082S0105X A55811 CA Primary

Addresses

Primary practice location

5757 Wilshire Blvd Ste 374
Los Angeles, CA 90036-3683

Mailing address

5757 Wilshire Blvd Ste 374
Los Angeles, CA 90036-3683
Phone (323) 525-1733

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841402492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 374",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363683",
            "telephone_number": "323-525-1733",
            "fax_number": "323-525-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 374",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363683",
            "telephone_number": "323-525-1733",
            "fax_number": "323-525-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE PLASTIC & RECONSTRUCTIVE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-525-1733",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A55811",
            "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 Aug 22, 2020; 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.