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LA TOWN MEDICAL GROUP, INC.
NPI 1831129063
Internal Medicine - Geriatric Medicine in Los Angeles, CA

Active since July 04, 2006CLIA 05D0919969 · Waiver
3663 W 6TH ST, SUITE 206, LOS ANGELES, CA 90020(213) 385-5500(213) 385-1455 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About La Town Medical Group, Inc. NPPES

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

LA TOWN MEDICAL GROUP, INC. (NPI 1831129063) is a healthcare organization registered as a geriatric medicine in Los Angeles, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 23, 2028 and lists Seung H Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831129063
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameLA TOWN MEDICAL GROUP, INC.
Location Address3663 W 6TH ST, SUITE 206Los Angeles, CA 90020-3049
Mailing Address3663 W 6th St, Suite 206Los Angeles, CA 90020-3049 · (213) 385-5500 · Fax (213) 385-1455
Phone(213) 385-5500
Fax(213) 385-1455
Organization SubpartNo
Authorized OfficialSeung H KimCeo · (213) 385-5500
Enumeration DateJuly 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1831129063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in CA · A50035
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
3663 W 6TH ST, Los Angeles, CA 90020
Open in Google Maps ↗

Other Identifiers 1

MedicaidGR0066630CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Town Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to La Town Medical Group, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Seung Kim, M.D.
Geriatric Medicine
NPI 1134153653
3663 W 6TH ST SUITE 206
Los Angeles, CA 90020
(213) 385-5500
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D0919969

La Town Medical Group · Los Angeles, CA
Active · expires Jun 23, 2028
CLIA Number05D0919969
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorSeung Kim
Laboratory Phone(213) 385-1806
Laboratory LocationLa Town Medical Group3663 West 6th Street #206, Los Angeles, CA 90020
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 La Town Medical Group, Inc.'s NPI number?

The NPI number for La Town Medical Group, Inc. is 1831129063. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is La Town Medical Group, Inc. located?

La Town Medical Group, Inc. is located at 3663 W 6th St Suite 206, Los Angeles, CA 90020. The listed phone number is (213) 385-5500.

What is La Town Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is La Town Medical Group, Inc. enrolled in Medicare?

Yes. La Town Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Town Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Geriatric Medicine) reassigns their Medicare billing to La Town Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does La Town Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0919969) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for La Town Medical Group, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.