Organization Active NPI

Southland Wellness

  • Internal Medicine Physician
  • Los Alamitos, CA
National Provider Identifier
1881349678
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTHLAND WELLNESS
Practice address
10541 Calle Lee Ste 117
Los Alamitos, CA 90720-6781
Phone
(714) 794-2777
Fax
(714) 276-2353
NPI assigned
Feb 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Dr. Daniel Kim, MD
Title
Physician
Phone
(858) 431-6143

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

10541 Calle Lee Ste 117
Los Alamitos, CA 90720-6781

Mailing address

10541 Calle Lee Ste 117
Los Alamitos, CA 90720-6781
Phone (714) 794-2777

Other practice location 1

11691 Argyle Dr
Rossmoor, CA 90720-4035
Phone (714) 794-2777

National Provider Directory

National Provider Directory

Locations

10541 Calle Lee
Ste 117
Los Alamitos, CA 90720

NPI Registry JSON

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

{
    "created_epoch": "1645315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1881349678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10541 CALLE LEE STE 117",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206781",
            "telephone_number": "714-794-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10541 CALLE LEE STE 117",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206781",
            "telephone_number": "714-794-2777",
            "fax_number": "714-276-2353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11691 Argyle Dr",
            "address_purpose": "LOCATION",
            "city": "Rossmoor",
            "state": "CA",
            "postal_code": "907204035",
            "country_code": "US",
            "telephone_number": "714-794-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHLAND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-20",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "858-431-6143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.