Beverly Cardiology Group

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A112970 Issued in CA

Legal business name

BEVERLY CARDIOLOGY GROUP

Practice address

3919 Beverly Blvd
#100
Los Angeles, CA 90004-3432

Phone

(323) 662-1175

Fax

(323) 662-7817

NPI assigned

Aug 29, 2013

Last updated

Aug 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Diana Kim, M.D.NPI 1780811844

Title

Physician

Phone

(323) 662-1175

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diana Maria Kim, M.D.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1780811844
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1912331653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 BEVERLY BLVD",
            "address_2": "#100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043432",
            "telephone_number": "323-662-1175",
            "fax_number": "323-662-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 BEVERLY BLVD",
            "address_2": "#100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043432",
            "telephone_number": "323-662-1175",
            "fax_number": "323-662-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY CARDIOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "323-662-1175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A112970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly a Johnson DDS MPH Inc
• Beverly Acupuncture and Herb
• Beverly Adult Day Health Care Center, Inc. (Beverly Adult Day Health Care Center)
• Beverly Advanced Medical Group Inc
• Beverly Atlantic Medical Center Inc
• Beverly Century Surgical Center
• Beverly Community Clinic
• Beverly Dental Drive Care
• Beverly Foot Care Center
• Beverly Glen Pharmacy Inc

• Cardiovascular Disease Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.