Active NPI
Yungae Kristy Kim, M.D.
- Pulmonary Disease Physician
- Los Angeles, CA
National Provider Identifier
1912086331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G51774
- Practice address
- 3435 Wilshire Blvd Ste 500
Los Angeles, CA 90010-1906 - Phone
- (213) 384-3435
- Fax
- (213) 384-5559
- NPI assigned
- Nov 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G51774 | CA | Primary |
Addresses
Primary practice location
3435 Wilshire Blvd Ste 500
Los Angeles, CA 90010-1906
Mailing address
3544 W Olympic Blvd
Suite #202
Los Angeles, CA 90019-3500
Phone (323) 732-7111
Other names 1
- Dr. Kristy Yungae Kim
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G51774 | CA | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541203200000",
"number": "1912086331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3544 W OLYMPIC BLVD",
"address_2": "SUITE #202",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900193500",
"telephone_number": "323-732-7111",
"fax_number": "323-732-9028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 WILSHIRE BLVD STE 500",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900101906",
"telephone_number": "213-384-3435",
"fax_number": "213-384-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "YUNGAE",
"middle_name": "KRISTY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-05",
"last_updated": "2018-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G51774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTY",
"last_name": "KIM",
"middle_name": "YUNGAE",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Nov 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.