Changkyu Kim

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Practice address

9730 Wilshire Blvd Ste 207
Beverly Hills, CA 90212-2004

Phone

(213) 434-6756

Fax

(323) 967-9000

NPI assigned

Dec 12, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Your Choice Home Health Care Agency

  • Home Health Agency
  • Beverly Hills, CA
  • NPI 1104640689
  NPD

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1891502001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 WILSHIRE BLVD UNIT 783",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101253",
            "telephone_number": "213-434-6756",
            "fax_number": "323-967-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 WILSHIRE BLVD STE 207",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122004",
            "telephone_number": "213-434-6756",
            "fax_number": "323-967-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHANGKYU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Lynne Killeen, M.D.
• Alexander Kim, MD
• Andrew-Sunjun Kim, DDS
• Ashley Kim
• Chae Kim
• Chloe Kim, PSYD
• Dae Kwon Kim, L.AC.
• David Edwin Kim, MD
• Dong U. Kim, MD
• Elizabeth Miyoung Kim, MD

• Transportation Network Company in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Transportation Network Company in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.