DR. DAE HEE KIM (NPI# 1073691689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073691689 |
| Entity Type | Individual |
| Full Name | DR. DAE HEE KIM |
| Other Name | DR. DAVID DAEHEE KIM |
| Credential | D.C. |
| Practice Address |
3828 W Commonwealth Ave Fullerton CA 92833-2851 |
| Practice Telephone | 7147739333 |
| Practice Fax Number | 7147739337 |
| Mailing Telephone | 7147739333 |
| Mailing Fax Number | 7147739337 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC24722 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114417524 | Dae Kim | Student in an Organized Health Care Education/Training Program | Somerset Family Practice, 110 Rehill Avenue, Somerville, NJ 08876 | 2018-05-11 |
| 1427466598 | Dae Ha Kim | Dentist | 1150 Foxworthy Ave Ste 10, San Jose, CA 95118-1209 | 2014-08-01 |
| 1336371806 | Dae Ho Kim | Dentist | 618th Theater Dental Command, Unit#15652, Apo, AP 96205-5652 | 2009-08-18 |
| 1427430453 | Dae Kim | Pharmacist | 4541 Campus Dr, Irvine, CA 92612-2621 | 2015-06-25 |
| 1720221062 | Dae Hwan Kim | Internal Medicine | 130 S Bryn Mawr Ave, Suite H321, Bryn Mawr, PA 19010 | 2009-04-16 |
| 1003000597 | Dae Y Kim | Urology | 1145 S Utica Ave, Suite 202, Tulsa, OK 74104-4000 | 2007-08-28 |
| 1225110034 | Dae Un Kim | Pathology | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2006-10-20 |
| Street Address |
3828 W COMMONWEALTH AVE |
| City | FULLERTON |
| State | CA |
| Zip Code | 92833-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043613359 | Sungryong Jun | Acupuncturist | 3828 W Commonwealth Ave, Fullerton, CA 92833-2851 | 2014-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333565 | Qz Enterpprises Corp | In Home Supportive Care | 2817 Muir Trail Dr, Fullerton, CA 92833 | 2019-08-26 |
| 1780114306 | Acupuncture Nara Inc | Clinic/Center | 2334 W. Valencia Dr., Fullerton, CA 92833 | 2017-06-15 |
| 1518350149 | Young A Lee | Nurse Practitioner | 2529 Monterey Pl, Fullerton, CA 92833 | 2015-03-06 |
| 1538557871 | Annacess Arcadio | Occupational Therapy Assistant | 1437 W Woodcrest Ave, Fullerton, CA 92833 | 2015-01-08 |
| 1710306923 | Nora Edith Heredia | Counselor | 1060 S Brookhurst Road, Fullerton, CA 92833 | 2014-04-15 |
| 1912322892 | Louis Michael Hinzo | Counselor | 1060 S. Brookhurst Rd., Fullerton, CA 92833 | 2014-02-28 |
| 1497011290 | Paul Choong Hwan Lee, M.d. A Medical Corporation | Ophthalmology | 1401 S. Brookhurst Rd., Suite 107, Fullerton, CA 92833 | 2012-04-05 |
| 1992073860 | Tammy Phan | Pharmacist | 1826 W Orangethrope Ave, Fullerton, CA 92833 | 2011-12-07 |
| 1346577160 | Hara Orthotics and Prosthetics,inc | Prosthetic/Orthotic Supplier | 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 | 2009-11-16 |
| 1265669923 | Marcelle Bonneau Taylor | Marriage & Family Therapist | 1145 W. Valencia Mesa, Emmanuel Episcopal Church, Fullerton, CA 92833 | 2009-06-19 |
| Find all providers in zip 92833 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396379624 | Armand Taylor Contreras | Chiropractor | 115 S Harbor Blvd, Fullerton, CA 92832-1827 | 2020-02-25 |
| 1912463704 | Kevin Johnson | Chiropractor | 2601 E Chapman Ave Ste 214, Fullerton, CA 92831-3737 | 2019-02-16 |
| 1952889099 | Simone Janae Jordan | Chiropractor | 141 S Yale Ave Apt 4, Fullerton, CA 92831-4554 | 2018-07-31 |
| 1689166555 | Leslie Vich | Chiropractor | 2683 Milton Ave, Fullerton, CA 92831-1472 | 2018-06-05 |
| 1912449323 | Dr Ken Cooper's Cooperstown Chiropractic, Inc. | Chiropractor | 680 Langsdorf Dr Ste 180, Fullerton, CA 92831-3702 | 2016-11-16 |
| 1730570474 | Steve Jo | Chiropractor | 817 W Wilshire Ave, Fullerton, CA 92832-1649 | 2015-02-17 |
| 1881090843 | Mandana Miramadi | Chiropractor | 2501 E Chapman Ave Ste 107, Fullerton, CA 92831-3132 | 2014-11-18 |
| 1417379223 | Elissa Heath | Chiropractor | 2751 E. Chapman Ave., Suite 109, Fullerton, CA 92831-3710 | 2014-01-13 |
| 1013258169 | Meghan Elizabeth Miller | Chiropractor | 1235 N Harbor Blvd Ste 111, Fullerton, CA 92832 | 2013-03-13 |
| 1790035558 | Jinhi Bowman | Chiropractor | 111 W. Bastanchury Rd., Unit 1e, Fullerton, CA 92835 | 2012-09-19 |
| Find all providers in FULLERTON | ||||
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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.