Healthcare Provider Details

I. General information

NPI: 1588712558
Provider Name (Legal Business Name): SUNGHYE KIM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 GOODRICH BLVD
COMMERCE CA
90022-5111
US

IV. Provider business mailing address

1436 GOODRICH BLVD
COMMERCE CA
90022-5111
US

V. Phone/Fax

Practice location:
  • Phone: 323-725-1337
  • Fax:
Mailing address:
  • Phone: 323-725-1337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA77748
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberA77748
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: