Organization Active NPI

Aldric J Shim MD Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1891946497
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
A77053 Issued in CA
Legal business name
ALDRIC J SHIM MD INC
Practice address
2727 W Olympic Blvd Ste 101
Los Angeles, CA 90006-2641
Phone
(213) 381-0910
Fax
(213) 381-0911
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Dr. Aldric Shim, MD
Title
Ceo
Phone
(310) 618-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X A77053 CA Primary

Addresses

Primary practice location

2727 W Olympic Blvd Ste 101
Los Angeles, CA 90006-2641

Mailing address

1066 Ridgeside Dr
Monterey Park, CA 91754-3729
Phone (310) 618-4567

Other names 1

  • Olympic Medical Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

2727 W Olympic Blvd
Ste 101
Los Angeles, CA 90006
Phone (213) 381-0910

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1891946497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 RIDGESIDE DR",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917543729",
            "telephone_number": "310-618-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062641",
            "telephone_number": "213-381-0910",
            "fax_number": "213-381-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDRIC J SHIM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "ALDRIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-618-4567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "CA",
            "license": "A77053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Medical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 27, 2009; 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.