Dr Soo Jin Kim, DC, LAC is a medicare enrolled "Chiropractor" provider in Torrance, California. His current practice location is
3232 Sepulveda Blvd, Torrance, California. You can reach out to his office (for appointments etc.) via phone at
(310) 257-8800.
Dr Soo Jin Kim is licensed to practice in California (license number 31788) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548570740.
Healthcare Provider's Profile
| Full Name | Dr Soo Jin Kim |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 3232 Sepulveda Blvd, Torrance, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548570740
- Provider Enumeration Date: 10/21/2010
- Last Update Date: 06/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 3173719861
- Enrollment ID: I20101119000826
Medical Identifiers
Medical identifiers for Dr Soo Jin Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548570740 | NPI | - | NPPES |
| D9305969 | Other | CA | DRIVER LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | 13819 (California) | Secondary |
| 111N00000X | Chiropractor | 31788 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Soo Jin Kim allows following entities to bill medicare on his behalf.
| Provider Name | Soo Jin Kim Chiropractic Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1720559396
PECOS PAC ID: 5395118160
Enrollment ID: O20230224001892 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Soo Jin Kim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Soo Jin Kim, DC, LAC
3232 Sepulveda Blvd,
Torrance, CA 90505-2719
Ph: (310) 257-8800 | Dr Soo Jin Kim, DC, LAC
3232 Sepulveda Blvd,
Torrance, CA 90505-2719
Ph: (310) 257-8800 |
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