Active NPI
Joong Gap Kim, M.D.
- Specialist
- Bellflower, CA
National Provider Identifier
1861527897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A39214
- Practice address
- 9540 Artesia Blvd Ste 2
Bellflower, CA 90706-6598 - Phone
- (562) 920-7602
- Fax
- (562) 920-2533
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A39214 | CA | Primary |
Addresses
Primary practice location
9540 Artesia Blvd Ste 2
Bellflower, CA 90706-6598
Mailing address
9540 Artesia Blvd Ste 2
Bellflower, CA 90706-6598
Phone (562) 920-7602
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861527897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9540 ARTESIA BLVD STE 2",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907066598",
"telephone_number": "562-920-7602",
"fax_number": "562-920-2533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9540 ARTESIA BLVD STE 2",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907066598",
"telephone_number": "562-920-7602",
"fax_number": "562-920-2533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JOONG",
"middle_name": "GAP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A39214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.