MR. DAVID S KIM M.D
NPI 1194818914
Specialist in Los Angeles, CA

Q: What is David Kim's NPI number?

The NPI number for David Kim is 1194818914. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is David Kim's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for David Kim was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 02, 2006PECOS Enrolled

3544 W OLYMPIC BLVD #211, LOS ANGELES, CA 90019(323) 373-0003(213) 483-1095 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. David S Kim M.d NPPES

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

MR. DAVID S KIM M.D (NPI 1194818914) is an individual specialist in Los Angeles, California, licensed in California (G61312) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1986).

NPPES Registry Identity

NPI1194818914

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. DAVID S KIMCredential: M.D

Location Address3544 W OLYMPIC BLVD #211Los Angeles, CA 90019

Mailing Address3544 W Olympic Blvd #211Los Angeles, CA 90019 · (323) 373-0003 · Fax (213) 483-1095

Phone(323) 373-0003

Fax(213) 483-1095

Sole ProprietorYes

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1986

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1194818914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G61312

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Other Identifiers 3

Medicaid00G613121CA

Medicare ID-Type UnspecifiedG61312CA · Calif License

Medicare UPINF30627CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David S Kim M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840395604

PECOS Enrollment IDI20090515000227

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

11 services11 patients

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 David Kim's NPI number?

The NPI number for David Kim is 1194818914. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is David Kim located?

David Kim practices at 3544 W Olympic Blvd #211, Los Angeles, CA 90019. The listed phone number is (323) 373-0003.

What is David Kim's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is David Kim enrolled in Medicare?

Yes. David Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Kim was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.