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  7. NPI Record 1558544080

BYUM SUK KIM D.C
Complete NPI Record 1558544080
Chiropractor in Los Angeles, CA

NPI Status: Active since December 06, 2007

Contact Information

3240 WILSHIRE BL
#240
LOS ANGELES, CA
ZIP 90010
Phone: (213) 365-0212
Fax: (213) 365-0480

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Middle Name
  6. Provider Credential Text
  7. Provider Other Last Name
  8. Provider Other First Name
  9. Provider Other Middle Name
  10. Provider Other Credential Text
  11. Provider Other Last Name Type Code
  12. Provider First Line Business Mailing Address
  13. Provider Second Line Business Mailing Address
  14. Provider Business Mailing Address City Name
  15. Provider Business Mailing Address State Name
  16. Provider Business Mailing Address Postal Code
  17. Provider Business Mailing Address Country Code If outside U S
  18. Provider Business Mailing Address Telephone Number
  19. Provider Business Mailing Address Fax Number
  20. Provider First Line Business Practice Location Address
  21. Provider Second Line Business Practice Location Address
  22. Provider Business Practice Location Address City Name
  23. Provider Business Practice Location Address State Name
  24. Provider Business Practice Location Address Postal Code
  25. Provider Business Practice Location Address Country Code If outside U S
  26. Provider Business Practice Location Address Telephone Number
  27. Provider Business Practice Location Address Fax Number
  28. Provider Enumeration Date
  29. Last Update Date
  30. Provider Gender Code
  31. Healthcare Provider Taxonomy Code 1
  32. Provider License Number 1
  33. Provider License Number State Code 1
  34. Healthcare Provider Primary Taxonomy Switch 1
  35. Other Provider Identifier 1
  36. Other Provider Identifier Type Code 1
  37. Other Provider Identifier Issuer 1
  38. Is Sole Proprietor

Complete NPI Dataset

This page represents the complete record for NPI 1558544080. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1558544080
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: BYUM
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Middle Name: SUK
The city name in the mailing address of the provider being identified.
Provider Credential Text: D.C
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Other Last Name: KIM
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Other First Name: MICHAEL
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Other Middle Name: SUK
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Other Credential Text: D.C
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Other Last Name Type Code: 2
The city name in the location address of the provider being identified.
Provider First Line Business Mailing Address: 3240 WILSHIRE BL
The State code in the location of the provider being identified.
Provider Second Line Business Mailing Address: #240
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Mailing Address City Name: LOS ANGELES
The country code in the location address of the provider being identified.
Provider Business Mailing Address State Name: CA
The telephone number associated with the location address of the provider being identified.
Provider Business Mailing Address Postal Code: 90010
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address Country Code If outside U S : US
The date that a record was last updated or changed.
Provider Business Mailing Address Telephone Number: 2133650212
The code designating the provider’s gender if the provider is a person.
Provider Business Mailing Address Fax Number: 2133650480
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider First Line Business Practice Location Address: 3240 WILSHIRE BL
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location Address: #240
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: LOS ANGELES
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: CA
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 90010
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 2133650212
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 2133650480
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 12/6/2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 11/24/2008
The date that a record was last updated or changed.
Provider Gender Code: M
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 111N00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: DC30749
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: CA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Other Provider Identifier 1: 11901787
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier Issuer 1: CAQH
Is Sole Proprietor: Y
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No