Vein and Wound Center of la
NPI 1629869060ActiveOrganization· Surgery· Los Angeles, CA
Surgery in Los Angeles, California, registered in NPPES in May 2025. The authorized official on file is Christopher Sung-Bo Kim, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629869060 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2025 |
| Last updated in NPPES | Aug 18, 2026 |
| Certified by provider | Aug 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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