STANLEY S. KIM, M.D. (NPI# 1073791687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073791687 |
| Entity Type | Organization |
| Organization Name | STANLEY S. KIM, M.D. |
| Practice Address |
3663 W 6th St Suite #200 Los Angeles CA 90020-3049 |
| Practice Telephone | 2133858500 |
| Practice Fax Number | 2133854896 |
| Mailing Telephone | 2133858500 |
| Mailing Fax Number | 2133854896 |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |
| Authorized Official Name | DR. STANLEY S. KIM (OWNER) |
| Authorized Official Telephone | 2133858500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
G54395 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G543950 | 05 | |
| CA | 00G543951 | 05 | |
| CA | MEDICARE DMEPOS SUPPLIER | 1050960002 | 01 |
| Street Address |
3663 W 6TH ST SUITE #200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831129063 | La Town Medical Group, Inc. | Internal Medicine | 3663 W 6th St, Suite 206, Los Angeles, CA 90020-3049 | 2006-07-04 |
| 1700387891 | Young Soon Yang | Nurse Practitioner | 3663 W 6th St, 103, Los Angeles, CA 90020-3047 | 2018-02-23 |
| 1386145712 | Jonah Medical Group Inc | Nurse Practitioner | 3663 W 6th St, 103, Los Angeles, CA 90020-3049 | 2018-02-21 |
| 1407220171 | Sun Rye Lee | Acupuncturist | 3663 W 6th St, #308, Los Angeles, CA 90020 | 2015-11-18 |
| 1881070746 | Hei-paik Kim M D Inc | Clinic/Center | 3663 W 6th St, 203, Los Angeles, CA 90020-3049 | 2015-08-03 |
| 1821406471 | Song Hoe Koo Dds Inc | Clinic/Center | 3663 W 6th St, #204, Los Angeles, CA 90020-3049 | 2014-07-28 |
| 1063853042 | Harry Sukyun Lee | Acupuncturist | 3663 W 6th St, #308, Los Angeles, CA 90020 | 2013-07-08 |
| 1275973968 | Kingsley Pharmacy | Pharmacy | 3663 W 6th St, #102, Los Angeles, CA 90020-3049 | 2013-06-27 |
| 1891072476 | Ardmore Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 3663 W 6th St, Ste108, Los Angeles, CA 90020-3049 | 2011-11-09 |
| 1740577873 | Young H. Kim and Doil Kim Dds Inc | Dentist | 3663 W 6th St, Suite #207, Los Angeles, CA 90020-3049 | 2011-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948048 | Edwina Antoinette Hunter | Community Health Worker | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | 2017-08-22 |
| 1639520661 | Jacqueline Carrasco | Counselor | 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 | 2016-06-30 |
| 1649630914 | Hee Seung Lee | Marriage & Family Therapist | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | 2016-03-01 |
| 1134596273 | Jocelyn Marie Lee | Optometrist | 3750 W 6th St Ste 113, Los Angeles, CA 90020 | 2015-08-24 |
| 1316327075 | Lourdes Encarnacion Araujo | Social Worker | 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 | 2015-06-08 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1538566047 | Calvin A. Kim | Internal Medicine | 4220 W 3rd St Ste 201, Los Angeles, CA 90020 | 2014-11-26 |
| 1093115792 | John Abaya | Counselor | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | 2014-08-29 |
| 1528494481 | Sung Eun Lee | Acupuncturist | 340 S New Hampshire Ave #211, Los Angeles, CA 90020 | 2013-09-23 |
| 1861836587 | Robert Lee Smalls Jr. | Marriage & Family Therapist | 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 | 2013-04-24 |
| Find all providers in zip 90020 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| 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). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807213 | Drmsh Corp | Clinic/Center | 2045 Thayer Ave, Los Angeles, CA 90025-5926 | 2020-07-01 |
| 1164805487 | Medical Spa Retreat, Inc | Clinic/Center | 3523 W Olympic Blvd Fl 2, Los Angeles, CA 90019-3502 | 2015-07-06 |
| 1386022267 | Barbara Roces | Clinic/Center | 349 S Orange Grove Ave, Los Angeles, CA 90036-3103 | 2015-05-12 |
| 1477803450 | Childrens Hospital of Los Angeles | Clinic/Center | 4650 W Sunset Blvd # 61, Los Angeles, CA 90027-6062 | 2012-09-17 |
| 1457563629 | Gastroenterology Associates of Southern California | Clinic/Center | 1701 Cesar Chavez Blvd., Suite 307, Los Angeles, CA 90033 | 2007-05-03 |
| 1114088267 | Alexandr P. Ford, M.d. | Clinic/Center | 1125 S Beverly Dr Ste 700, Los Angeles, CA 90035-1148 | 2006-12-13 |
| 1487667002 | Carl Lauryssen Md Prof Corp. | Clinic/Center | 8201 Beverly Blvd Ste 405, Los Angeles, CA 90048-4505 | 2006-08-14 |
| 1922019348 | Seung M Lee | Clinic/Center | 2030-1 W Pico Blvd, Los Angeles, CA 90006-5011 | 2006-08-10 |
| 1679197123 | Zp Medical Services, PC | Clinic/Center | 12121 Wilshire Blvd, Los Angeles, CA 90025-1123 | 2020-06-01 |
| 1538792247 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 10884 Santa Monica Blvd Fl 3, Los Angeles, CA 90025-7638 | 2020-02-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90020 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.