Sky Wellness Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SKY WELLNESS CLINIC

Practice address

9025 Wilshire Blvd Ste 400
Beverly Hills, CA 90211-1828

Phone

(424) 789-9726

NPI assigned

Feb 22, 2022

Organization subpart

No

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

Authorized official

Name

Sungsik Kim

Title

Owner

Phone

(424) 789-9726

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1851047542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD STE 400",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD STE 400",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111828",
            "telephone_number": "424-789-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNGSIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-789-9726"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.