Organization Active NPI

K. Alex Kim, M.D., a Medical Corporation

  • Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1942575980
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A48949 Issued in CA
Legal business name
K. ALEX KIM, M.D., A MEDICAL CORPORATION
Practice address
9001 Wilshire Blvd
202
Beverly Hills, CA 90211-1838
Phone
(310) 860-9502
Fax
(310) 860-9729
NPI assigned
Mar 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Authorized official

Name
Dr. Keyong-Hee Alexander Kim, M.D.
Title
Ceo
Phone
(310) 860-9502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A48949 CA Primary

Addresses

Primary practice location

9001 Wilshire Blvd
202
Beverly Hills, CA 90211-1838

Mailing address

9001 Wilshire Blvd
202
Beverly Hills, CA 90211-1838
Phone (310) 860-9502

Other names 1

  • Brooks Surgery Center Medical Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120327000806 CA Part B Supplier - Clinic/Group Practice 1456511534 Receives reassigned benefits from 2 practitioners
Practice locations: Beverly Hills, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

9001 Wilshire Blvd
Ste 202
Beverly Hills, CA 90211
Phone (310) 686-7181

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1942575980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD",
            "address_2": "202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111838",
            "telephone_number": "310-860-9502",
            "fax_number": "310-860-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 WILSHIRE BLVD",
            "address_2": "202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111838",
            "telephone_number": "310-860-9502",
            "fax_number": "310-860-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. ALEX KIM, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KEYONG-HEE",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-860-9502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A48949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooks Surgery Center Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.