Organization Active NPI

Whan Sil Kim, M.D., Inc.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1952477648
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A35061 Issued in CA
Legal business name
WHAN SIL KIM, M.D., INC.
Practice address
903 Crenshaw Blvd
Suite 305
Los Angeles, CA 90019-1964
Phone
(323) 931-1400
Fax
(323) 931-2002
NPI assigned
Nov 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Whan Sil Kim, M.D.NPI 1194891887
Title
President
Phone
(323) 931-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A35061 CA Primary

Addresses

Primary practice location

903 Crenshaw Blvd
Suite 305
Los Angeles, CA 90019-1964

Mailing address

5042 Wilshire Blvd
Suite 620
Los Angeles, CA 90036-4305
Phone (323) 931-1400

National Provider Directory

National Provider Directory

Locations

903 Crenshaw Blvd
Ste 305
Los Angeles, CA 90019
Phone (323) 931-1400

11239 Ventura Blvd
Ste 215
Studio City, CA 91604
Phone (818) 508-6888

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952477648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5042 WILSHIRE BLVD",
            "address_2": "SUITE 620",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364305",
            "telephone_number": "323-931-1400",
            "fax_number": "323-931-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD",
            "address_2": "SUITE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191964",
            "telephone_number": "323-931-1400",
            "fax_number": "323-931-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHAN SIL KIM, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "WHAN",
        "authorized_official_middle_name": "SIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-931-1400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A35061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.