Youngwook Kim, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NPF17067 Issued in CA

Practice address

3030 W Olympic Blvd
#206
Los Angeles, CA 90006-6501

Phone

(213) 322-2666

Fax

(213) 322-2667

NPI assigned

May 30, 2008

Last updated

Aug 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Young Wook Kim Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAFBCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benevolence Industries Incorporated

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1578763207
  Medicare reassignment NPD
• Benevolence Industries Inc.

  dba Benevolence Health Center

  • Multi-Specialty Clinic/Center
  • Sylmar, CA
  • NPI 1831661529
  NPD
• Benevolence Industries Incorporated

  dba Benevolence Health Centers

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1457781676
  NPD

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471132800000",
    "number": "1881852432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28106 RIDGEFOREST CT",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902753241",
            "telephone_number": "310-710-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W OLYMPIC BLVD",
            "address_2": "#206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066501",
            "telephone_number": "213-322-2666",
            "fax_number": "213-322-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YOUNGWOOK",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2016-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NPF17067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUNG WOOK",
            "last_name": "KIM",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Young Uk Kim, LAC
• Youngbae Kim, DDS
• Youngeun Kim, LMFT
• Youngin Kim, ACUPUNCTURE
• Youngkwang Kim, D.C
• Yukyung Kristin Kim
• Yumee Kim
• Yun Hee Kim
• Yun Woo Kim
• Yungae Kristy Kim, M.D.

• Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.