Active NPI
Advantage Health Network Inc
- Family Medicine Physician
- Maywood, CA
National Provider Identifier
1871789149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ADVANTAGE HEALTH NETWORK INC
- Practice address
- 5953 Atlantic Blvd
Maywood, CA 90270-3133 - Phone
- (323) 562-6170
- Fax
- (323) 561-6176
- NPI assigned
- Sep 20, 2007
- Last updated
- Sep 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan K Kims, M.D.
- Title
- C.E.O
- Phone
- (323) 562-6170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
5953 Atlantic Blvd
Maywood, CA 90270-3133
Mailing address
5953 Atlantic Blvd
Maywood, CA 90270-3133
Phone (323) 562-6170
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190246400000",
"number": "1871789149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5953 ATLANTIC BLVD",
"city": "MAYWOOD",
"state": "CA",
"postal_code": "902703133",
"telephone_number": "323-562-6170",
"fax_number": "323-561-6176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5953 ATLANTIC BLVD",
"city": "MAYWOOD",
"state": "CA",
"postal_code": "902703133",
"telephone_number": "323-562-6170",
"fax_number": "323-561-6176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANTAGE HEALTH NETWORK INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-20",
"last_updated": "2007-09-20",
"status": "A",
"authorized_official_last_name": "KIMS",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "C.E.O",
"authorized_official_telephone_number": "323-562-6170",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.