KENNETH K KIM, A MEDICAL CORPORATION
NPI 1295004034
Family Medicine in Los Angeles, CA

Q: What is Kenneth K Kim, A Medical Corporation's NPI number?

The NPI number for Kenneth K Kim, A Medical Corporation is 1295004034. It was assigned to this organization in the NPPES registry on December 23, 2011.

Q: What is Kenneth K Kim, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since December 23, 2011CLIA 05D1063626 · Waiver

520 S VIRGIL AVE, SUITE 106, LOS ANGELES, CA 90020(213) 234-5575(213) 427-9850 Get Directions Write a Review

NPPES record last updated: December 23, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kenneth K Kim, A Medical Corporation NPPES

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

KENNETH K KIM, A MEDICAL CORPORATION (NPI 1295004034) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Kenneth K Kim, President, as its authorized official.

NPPES Registry Identity

NPI1295004034

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameKENNETH K KIM, A MEDICAL CORPORATION

Location Address520 S VIRGIL AVE, SUITE 106Los Angeles, CA 90020-1417

Mailing AddressP.o. Box 741519, Suite 106Los Angeles, CA 90004-1417 · (213) 234-5575 · Fax (213) 427-9850

Phone(213) 234-5575

Fax(213) 427-9850

Organization SubpartNo

Authorized OfficialKenneth K KimPresident · (213) 234-5575

Enumeration DateDecember 23, 2011

✔ NPI 1295004034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · G71557

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

520 S VIRGIL AVE, Los Angeles, CA 90020

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1063626

Kenneth K Kim, A Medical Corporation · Los Angeles, CA

Active · expires Jan 17, 2027

CLIA Number05D1063626

Laboratory TypePhysician Office

Certificate Effective DateJanuary 18, 2025

Certificate Expiration DateJanuary 17, 2027

Laboratory DirectorKenneth K. Kim MD

Laboratory Phone(213) 234-5575

Laboratory LocationKenneth K Kim, A Medical Corporation520 S Virgil Ave Ste 106, Los Angeles, CA 90020

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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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.

JAMES J KIM M.D.

Psychiatry & Neurology (Neurology)

520 S VIRGIL AVE, SUITE 307
LOS ANGELES, CA 90020

Los Angeles County (213) 386-2500

PILSOO OH MD

Internal Medicine (Gastroenterology)

520 S VIRGIL AVE, SUITE 202
LOS ANGELES, CA 90020

Los Angeles County (213) 368-0360

DR. INSOO KIM DC

Chiropractor

520 S VIRGIL AVE, #206
LOS ANGELES, CA 90020

Los Angeles County (213) 382-8300

JAMES J KIM MD INC

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

520 S VIRGIL AVE, SUITE 307
LOS ANGELES, CA 90020

Los Angeles County (213) 386-2500

CK SPINAL HEALTH CENTER

Chiropractor

520 S VIRGIL AVE, SUITE# 206
LOS ANGELES, CA 90020

Los Angeles County (213) 382-8300

SOUTHERN CALIFORNIA FOOT AND ANKLE MEDICAL CENTER

Podiatrist (Foot & Ankle Surgery)

520 S VIRGIL AVE, SUITE 105
LOS ANGELES, CA 90020

Los Angeles County (213) 352-1090

MIN YOUNG CHA MD INC

Internal Medicine

520 S VIRGIL AVE, 507
LOS ANGELES, CA 90020

Los Angeles County (213) 480-7770

JAI H LEE MD A PROFESSIONAL CORPORATION

Orthopaedic Surgery

520 S VIRGIL AVE, SUITE 103
LOS ANGELES, CA 90020

Los Angeles County (213) 380-0028

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 Kenneth K Kim, A Medical Corporation's NPI number?

The NPI number for Kenneth K Kim, A Medical Corporation is 1295004034. It was assigned to this organization in the NPPES registry on December 23, 2011.

Where is Kenneth K Kim, A Medical Corporation located?

Kenneth K Kim, A Medical Corporation is located at 520 S Virgil Ave Suite 106, Los Angeles, CA 90020. The listed phone number is (213) 234-5575.

What is Kenneth K Kim, A Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Kenneth K Kim, A Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1063626) is associated with this NPI, valid through January 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kenneth K Kim, A Medical Corporation was last updated on December 23, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.