Lauren Kim

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1425 Curran St
La Canada Flintridge, CA 91011-2111

Phone

(213) 247-9369

NPI assigned

Jun 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lauren Kim Physician Assistant

  • Medical Physician Assistant
  • La Canada Flintridge, CA
  • NPI 1952993347
  NPD Authorized official

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1972129013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 E LA PALMA AVE",
            "address_2": "STE B",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928051564",
            "telephone_number": "213-247-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 CURRAN ST",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910112111",
            "telephone_number": "213-247-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Walter Holloway, LCSW
• Joel a Badeaux, MD, a Professional Corp
• Garen Karaguezian, PHARM.D.
• Debbie K Kawamura, RD
• Ashley Celler Kennedy, MA, LMFT
• Noah S Kim
• Soo Kim
• Miel Juan Krauss, OTD, OTR/L
• La Canada Family Therapy
• La Canada Medical Group Inc

• Physician Assistant in La Canada Flintridge, CA
• Providers in La Canada Flintridge, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.