MINA RIM KANG (NPI# 1003045600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003045600 |
| Entity Type | Individual |
| Full Name | MINA RIM KANG |
| Credential | MD |
| Practice Address |
2121 Santa Monica Blvd Santa Monica CA 90404-2303 |
| Mailing Address |
2121 Santa Monica Blvd Providence St. John's Health Center Santa Monica CA 90404-2303 |
| Practice Telephone | 3104531324 |
| Practice Fax Number | 4242125921 |
| Mailing Telephone | 3108298858 |
| Mailing Fax Number | 4242125921 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A114952 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A114952 | CA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | A114952 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2121 SANTA MONICA BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528062023 | Lisa Martine Chaiken | Radiology | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2005-06-13 |
| 1003428673 | Geremy Zhang | Registered Nurse | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2020-08-17 |
| 1376152082 | Jennifer Scheller | Student in an Organized Health Care Education/Training Program | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2020-07-28 |
| 1710518881 | Niceto Lopez, M.d., A.p.c. | Internal Medicine | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2020-01-28 |
| 1780223412 | Genevieve Abanilla Veneracion | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2019-12-28 |
| 1013560515 | Breanne Grazer | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2019-07-23 |
| 1104310002 | Michelle Padilla Martinez | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2018-06-15 |
| 1952815714 | Frania Julianne Ciszewski | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2017-11-30 |
| 1609388271 | Tara Jean Kays | Nurse Practitioner | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2017-11-03 |
| 1770093734 | Providence Saint Johns Medical Foundation | Family Medicine | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2017-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699118760 | Jane Ma | Hospitalist | 1250 16th St Ste 2304, Santa Monica, CA 90404-1249 | 2013-04-09 |
| 1043745938 | Josh Faguet | Hospitalist | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2017-04-27 |
| 1164956314 | Sneha Jain | Hospitalist | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2017-04-14 |
| 1891157939 | Begum Serena Sezer | Hospitalist | 2121 Santa Monica Blvd, Santa Monica, CA 90404 | 2016-03-28 |
| 1740629104 | John Leon Ebrahim | Hospitalist | 1250 16th St # C2304, Santa Monica, CA 90404-1249 | 2013-06-19 |
| 1619311669 | Veronica Ramirez | Hospitalist | 1250 16th St, Central Wing, Suite C2304, Santa Monica, CA 90404-1249 | 2013-04-22 |
| 1831532266 | Wossen Belachew | Hospitalist | 1250 16th St # C2304, Santa Monica, CA 90404-1249 | 2013-04-16 |
| 1578806782 | Tai Lynn Chon | Hospitalist | 1250 16th St # C2304, Santa Monica, CA 90404-1249 | 2013-04-05 |
| 1528301322 | Patrick Henry Poquiz | Hospitalist | 1250 16th St, Suite 2304 Central Wing, Santa Monica, CA 90404-1249 | 2013-03-29 |
| 1104169093 | Rahul Vasavada | Hospitalist | 1250 16th St, Suite 2304 Central Wing, Santa Monica, CA 90404-1249 | 2013-03-29 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.