SUN O. GIM (NPI# 1093915670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093915670 |
| Entity Type | Individual |
| Full Name | SUN O. GIM |
| Credential | MD |
| Practice Address |
4733 W Sunset Blvd Los Angeles CA 90027-6021 |
| Practice Telephone | 3237834011 |
| Mailing Telephone | 3237834011 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2008-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
A34614 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4733 W SUNSET BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578655908 | Sangeeta K. Aggarwal | Internal Medicine | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-09-30 |
| 1629604384 | Patricia Katherina San Pedro Tamayo | Clinical Nurse Specialist | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2020-03-13 |
| 1326544313 | Justin Dong | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2018-03-30 |
| 1700380110 | Malerie Pratt | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2018-03-20 |
| 1528594405 | Jennifer Sakioka | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-05-11 |
| 1649707456 | Erica Simone Gabriel Tukiainen | Family Medicine | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-05-11 |
| 1578099669 | Benjamin Bijan Pezeshki | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-05-10 |
| 1518492966 | Reshma Ramachandran | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-04-24 |
| 1467986919 | Russell Robinson Flato | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-04-11 |
| 1891228516 | Borna Mohabbatizadeh | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd, 3rd Floor, Los Angeles, CA 90027-6021 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
| 1134464795 | David Sup Hong | Radiology | 1441 Eastlake Ave # G356, Los Angeles, CA 90089-1019 | 2012-12-07 |
| 1144587742 | Puja Venkat | Radiology | 200 Medical Plz Ste B265, Los Angeles, CA 90095-9416 | 2012-04-19 |
| 1700115698 | John Adam Landsberger | Radiology | 10970 Bellagio Rd, Los Angeles, CA 90077-3203 | 2009-12-23 |
| 1124250642 | All-n-1 Med Corp | Radiology | 4032 Wilshire Blvd, Suite 303, Los Angeles, CA 90010-3405 | 2009-08-17 |
| 1871756254 | Nelly Tan | Radiology | 757 Westood Plz, Rrumc 1621; Mailcode: 743730, Los Angeles, CA 90095-8358 | 2008-07-07 |
| 1043399397 | Uscc Aquisition Corp | Radiology | Dept 9536, Los Angeles, CA 90084-9536 | 2006-11-06 |
| 1457430399 | Armand Bouzaglou | Radiology | 201 S Alvarado St Ste A, Los Angeles, CA 90057-2320 | 2006-11-02 |
| 1790789287 | Afshin Akhavan Safa | Radiology | 200 Medical Plz, Suite B265, Los Angeles, CA 90095-0001 | 2005-06-13 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on SUN O. GIM.
| 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.