SANG I KIM (NPI# 1043244692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043244692 |
Entity Type | Individual |
Full Name | SANG I KIM |
Credential | M.D. |
Practice Address |
19231 Victory Blvd 200 Reseda CA 91335-6308 |
Practice Telephone | 8187760401 |
Mailing Telephone | 8187760401 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2012-04-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | C42314 | CA | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | C42314 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598165748 | Sang Kim | Acupuncturist | 19900 Fisher Ave, Poolesville, MD 20837-2077 | 2014-08-25 |
1245527340 | Sang Yup Kim | Podiatrist | 5451 La Palma Ave Ste 26, La Palma, CA 90623-1730 | 2011-07-09 |
1649570755 | Sang Wan Kim | Internal Medicine | 7305 Brookview Rd Unit 306, Elkridge, MD 21075-6080 | 2010-10-25 |
1538335484 | Sang Yoon Kim | Dentist | 2 Perlman Dr Ste 105, Spring Valley, NY 10977-5230 | 2008-05-01 |
1467593236 | Sang K Kim | Acupuncturist | 430 S Western Ave, #102a, Los Angeles, CA 90020-4176 | 2007-02-12 |
1689760415 | Sang C. Kim | Dentist | 344 Morris Ave S, Renton, WA 98057-2521 | 2006-10-05 |
1568494367 | Sang You Kim | General Practice | 14273 Ruby Glen Ct, Chino Hills, CA 91709-5915 | 2006-07-06 |
1023054202 | Sang H Kim | Internal Medicine | 1086 N Broadway Ste 240, Yonkers, NY 10701-1115 | 2006-06-22 |
1205885217 | Sang Cheul Kim | Obstetrics & Gynecology | 3340 West Ball Rd, #d, Anaheim, CA 92804 | 2006-05-08 |
1538133723 | Sang W Kim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3577 W Thirteen Mile Rd, #301, Royal Oak, MI 48073 | 2006-02-14 |
Street Address |
19231 VICTORY BLVD 200 |
City | RESEDA |
State | CA |
Zip Code | 91335-6308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104821859 | Gregg A Louk | Dentist | 19231 Victory Blvd, Ste 250, Reseda, CA 91335-6340 | 2005-06-18 |
1023597788 | Jessica Avila | Rehabilitation Practitioner | 19231 Victory Blvd, Reseda, CA 91335-6308 | 2018-08-13 |
1417312984 | Care Connection Home Health Agency Inc | Home Health | 19231 Victory Blvd, Suite 259, Reseda, CA 91335-6308 | 2015-12-28 |
1972900850 | Marjan Sadeghi | Acupuncturist | 19231 Victory Blvd, Suite 350, Reseda, CA 91335-6308 | 2014-11-20 |
1386061893 | Milton L. Payne Incorporated | Chiropractor | 19231 Victory Blvd, Suite 557, Reseda, CA 91335-6308 | 2014-03-21 |
1508282401 | Pacific Imaging Enterprises, Inc. | Clinic/Center | 19231 Victory Blvd, Suite 153, Reseda, CA 91335-6308 | 2014-03-15 |
1881933562 | Jason Song Acupuncture & Herbs, Inc. | Acupuncturist | 19231 Victory Blvd, Suite 211, Reseda, CA 91335-6308 | 2013-01-31 |
1346599859 | Maryam Monjezi | Acupuncturist | 19231 Victory Blvd, Ste 350, Reseda, CA 91335-6308 | 2012-08-30 |
1780948604 | Svetlana Mironova | Acupuncturist | 19231 Victory Blvd, Suite 350, Reseda, CA 91335-6308 | 2012-06-26 |
1407117195 | Roya Rahimzadeh Moghadam | Chiropractor | 19231 Victory Blvd, Suite 356, Reseda, CA 91335-6308 | 2012-05-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356968754 | Thomas Allen Hambright | Massage Therapist | 7510 Corbin Avenue, Unit #8, Reseda, CA 91335 | 2020-07-01 |
1558912014 | Harriet Ann Bickel | Technician | 18006 Hatton St., Reseda, CA 91335 | 2019-09-26 |
1528627106 | Topanga Hospice Care, Inc. | Hospice Care, Community Based | 5311 Topanga Canyon Blvd., Suite 302, Reseda, CA 91335 | 2019-06-07 |
1881174043 | Aludra Inc. | Hospice Care, Community Based | 18325 Sherman Way, Suite A, Reseda, CA 91335 | 2018-08-17 |
1417437658 | Buonora Development, Inc | Physical Therapist | 19325 Sherman Way, Reseda, CA 91335 | 2018-08-16 |
1770073793 | Deanna Marie Niekamp | Counselor | 7232 Canby Ave. #4,5,6, Reseda, CA 91335 | 2018-05-15 |
1013423383 | Bassa Logistic Inc | Non-emergency Medical Transport (VAN) | 19537 Valerio Street, Reseda, CA 91335 | 2017-12-21 |
1093237919 | Belinda Reser | Counselor | 7101 Baird St, Reseda, CA 91335 | 2017-07-12 |
1720500028 | Hermine Karapetyan | Hearing Instrument Specialist | 19367 Victory Blvd., Suite 14, Reseda, CA 91335 | 2017-07-09 |
1902352461 | Baird Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 7701 Baird Avenue, Reseda, CA 91335 | 2016-08-25 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801894043 | Sol Weiss | General Practice | 7012 Reseda Blvd, Suite A, Reseda, CA 91335-4219 | 2005-07-12 |
1255735171 | Med Nation, Inc. | General Practice | 7012 Reseda Blvd., Suite A, Reseda, CA 91335 | 2014-10-21 |
1972936755 | Salem Harake M.d., Inc. | General Practice | 18445 Vanowen St, Reseda, CA 91335-5324 | 2013-08-15 |
1740570100 | Agnes Bahng | General Practice | 18625 Sherman Way, Reseda, CA 91335-4148 | 2011-04-19 |
1942534987 | Shaban Azar Farr, Md | General Practice | 18541 Sherman Way, #101, Reseda, CA 91335 | 2009-09-23 |
1649432113 | Sang Il Kim Md,inc | General Practice | 19231 Victory Blvd, 200, Reseda, CA 91335-6308 | 2008-06-26 |
1053483800 | Kamran K Kamrava | General Practice | 6915 Reseda Blvd, Suite 1, Reseda, CA 91335 | 2006-11-15 |
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1255939674 | Kiira Health Practice Ca PC | General Practice | 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 | 2020-10-16 |
1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
1376156109 | Gtl Medical Group Inc | General Practice | 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 | 2020-08-31 |
1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
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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.