Provider Type Icon

STANLEY S. KIM M.D. NPI 1073791687


NPI Information

NPI: 1073791687
Provider Name: STANLEY S. KIM, M.D.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
3663 W 6TH ST
SUITE #200
LOS ANGELES, CA
ZIP 90020
Phone: (213) 385-8500
Get Directions

STANLEY S. KIM, M.D. is a medical specialty clinic center in Los Angeles, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). STANLEY S. KIM, M.D. NPI is 1073791687. The provider is registered as an organization entity type.

The provider's business location address is:

3663 W 6TH ST
SUITE #200
LOS ANGELES, CA
ZIP 90020-049
Phone: (213) 385-8500
Fax: (213) 385-4896

The provider's authorized official is Stanley S. Kim .
The authorized official title is Owner and has the following contact phone number (213) 385-8500.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 2/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyG54395CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G54395MEDICARE PINCALIFORNIA
200G543951MEDICAIDCALIFORNIA
31050960002OTHERCALIFORNIAMEDICARE DMEPOS SUPPLIER
4C36130MEDICARE UPINCALIFORNIA
500G543950MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.