Active NPI
Aldric J Shim MD Inc
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Los Angeles, CA
National Provider Identifier
1891946497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- License
- A77053
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.