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WILLIAM CHUL KYU IM
NPI 1093405250
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since May 11, 2023PECOS Enrolled
1720 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033(323) 268-5000 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William Chul Kyu Im NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM CHUL KYU IM (NPI 1093405250) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093405250
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILLIAM CHUL KYU IM
Location Address1720 E CESAR E CHAVEZ AVELos Angeles, CA 90033-2414
Mailing Address1720 E Cesar E Chavez AveLos Angeles, CA 90033-2414
Phone(323) 268-5000
Sole ProprietorYes
Enumeration DateMay 11, 2023
NPPES CertifiedMay 1, 2023
✔ NPI 1093405250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1720 E CESAR E CHAVEZ AVE, Los Angeles, CA 90033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Chul Kyu Im is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NAYELI BUENROSTRO DPM
Student in an Organized Health Care Education/Training Program
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
PARDIS A SAFFARI DO
Internal Medicine
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 260-5781
AH YEON CHANG RN
Registered Nurse (Case Management)
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
JOSIF BOROVIC, MD, INC
Pain Medicine (Interventional Pain Medicine)
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (562) 407-2080
CONNIE CHUNG MD
Student in an Organized Health Care Education/Training Program
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 260-5781
DAVINA RENE HSU D.O.
Family Medicine
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
STELLA MARIE GOMORY PA-C
Physician Assistant
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (323) 268-5000
MARYAM FAKHRAI
Obstetrics & Gynecology
1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
Los Angeles County (949) 510-4227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Im's NPI number?

The NPI number for William Im is 1093405250. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is William Im located?

William Im practices at 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033. The listed phone number is (323) 268-5000.

What is William Im's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is William Im enrolled in Medicare?

Yes. William Im is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Im was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.