Olympic W&C Care Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OLYMPIC W&C CARE CENTER INC

Doing business as

Olympic Wellness and Chiropractic Care Center

Practice address

5042 Wilshire Blvd
505
Los Angeles, CA 90036-4305

Phone

(213) 505-6534

Fax

(213) 607-3214

NPI assigned

Feb 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Woo Jin Kim, DC

Title

President

Phone

(714) 501-6765

Specialties & licenses 3

Addresses

Other names 1

• Olympic Wellness and Chiropractic Care Center Doing business as

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1871866236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 W OLYMPIC BLVD",
            "address_2": "C",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062665",
            "telephone_number": "213-387-2225",
            "fax_number": "213-387-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5042 WILSHIRE BLVD",
            "address_2": "505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364305",
            "telephone_number": "213-505-6534",
            "fax_number": "213-607-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC W&C CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "WOO",
        "authorized_official_middle_name": "JIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-501-6765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Wellness and Chiropractic Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.