Organization Active NPI

Hei-Paik Kim M D Inc

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1881070746
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A33208 Issued in CA
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

Updated by the provider on Aug 3, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A332082MedicaidCA
A33208OtherCAMEDICARE
A27071OtherCAUPIN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0860513Hei Paik Kim3663 W 6TH Street #203, Los Angeles, CA 90020Provider-performed microscopyApr 12, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.