{
"Npi": {
"NPI": "1689841207",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "HYO J KIM MD PC",
"ParentOrgTIN": null,
"OrgName": "HYO J KIM MD PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "12 STONEGATE CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALAMO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94507-1745",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "415-928-7700",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2161 YGNACIO VALLEY ROAD",
"SecondLinePracticeLocationAddress": "100",
"PracticeLocationAddressCityName": "WALNUT CREEK",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94598-3348",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "925-939-3003",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/13/2008",
"LastUpdateDate": "05/13/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KIM",
"AuthorizedOfficialFirstName": "HYO",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "415-928-7700",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "G40291",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}