Active NPI
Hei-Paik Kim M D Inc
- Clinic/Center
- Los Angeles, CA
National Provider Identifier
1881070746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- A33208
- Legal business name
- HEI-PAIK KIM M D INC
- Practice address
- 3663 W 6TH St
203
Los Angeles, CA 90020-3049 - Phone
- (213) 480-1251
- NPI assigned
- Aug 3, 2015
- 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. Hei Paik Kim, M.D.
- Title
- President
- Phone
- (213) 480-1251
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | A33208 | CA | Primary |
Addresses
Primary practice location
3663 W 6TH St
203
Los Angeles, CA 90020-3049
Mailing address
3663 W 6TH St
203
Los Angeles, CA 90020-3049
Phone (213) 480-1251
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A332082 | Medicaid | CA | |
| A33208 | Other | CA | MEDICARE |
| A27071 | Other | CA | UPIN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0860513 | Hei Paik Kim | Provider-performed microscopy | Apr 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
3663 W 6th St
Ste 203
Los Angeles, CA 90020
Phone (213) 480-1251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438560000000",
"number": "1881070746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3663 W 6TH ST",
"address_2": "203",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203049",
"telephone_number": "213-480-1251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 W 6TH ST",
"address_2": "203",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203049",
"telephone_number": "213-480-1251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEI-PAIK KIM M D INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-03",
"last_updated": "2015-08-03",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "HEI",
"authorized_official_middle_name": "PAIK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-480-1251",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "A33208",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A332082",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A33208",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "A27071",
"state": "CA"
}
],
"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 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.