YISU KIM (NPI# 1104331107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104331107 |
| Entity Type | Individual |
| Full Name | YISU KIM |
| Practice Address |
13208 La Jolla Cir # 308-e La Mirada CA 90638-3309 |
| Practice Telephone | 7143237863 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 77908 | CA | Pharmacy Service Providers |
| Street Address |
13208 LA JOLLA CIR # 308-E |
| City | LA MIRADA |
| State | CA |
| Zip Code | 90638-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972144095 | Amanda Connell | Counselor | 13710 La Mirada Blvd., Straight Talk, La Mirada, CA 90638 | 2019-09-30 |
| 1679054894 | James Kim | Occupational Therapist | 11926 La Mirada Blvd., La Mirada, CA 90638 | 2018-08-25 |
| 1780163915 | Complete Spine and Joint Center Inc | Chiropractor | 15112 Rosecrans Ave, La Mirada, CA 90638 | 2018-08-08 |
| 1124520606 | Meredith Narcisse | Counselor | Aegis Treatment Center 14240 Imperial Hwy, La Mirida, CA 90638 | 2018-03-01 |
| 1336685114 | Dorina Hamilton | Counselor | 14240 E. Imperial Hwy., La Mirada, CA 90638 | 2017-01-17 |
| 1497201768 | Blm Pharmacy Inc | Pharmacy | 12675 La Mirada Blvd., Suite 100, La Mirada, CA 90638 | 2016-08-28 |
| 1972954535 | Wendy Tran | Dentist | 12265 La Mirada Blvd, La Mirada, CA 90638 | 2016-06-24 |
| 1962851410 | Amy Bender | Counselor | 14240 Imperial Highway, La Mirada, CA 90638 | 2016-06-06 |
| 1699137430 | Andrea Lauren Smith | Chiropractor | 15651 East Imperial Hwy Ste 100, La Mirada, CA 90638 | 2016-03-22 |
| 1750797098 | Napoleon Tiquia | General Practice | 12049 Hartdale Avenue, La Mirada, CA 90638 | 2014-07-08 |
| Find all providers in zip 90638 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496369 | Minjin Lee | Pharmacist | 16735 Obispo Dr, La Mirada, CA 90638-6594 | 2019-09-12 |
| 1104474485 | Sora Hwang | Pharmacist | 8161 Barrington Dr, La Mirada, CA 90638-6112 | 2019-08-29 |
| 1952877979 | Alyssa Mae Dojillo Carrasco | Pharmacist | 15205 Normandy Ln, La Mirada, CA 90638-4739 | 2018-10-17 |
| 1184049538 | Joy Chang | Pharmacist | 14885 Telegraph Road, La Mirada, CA 90638 | 2014-02-21 |
| 1295012292 | Anh Dao Le | Pharmacist | 14210 Imperial Hwy, La Mirada, CA 90638-1940 | 2011-11-04 |
| 1720398654 | Kim-anh Vinh Tran | Pharmacist | 13029 El Morado St., La Mirada, CA 90638 | 2010-10-13 |
| 1255507331 | Lucy B Thai | Pharmacist | 15800 Imperial Hwy, La Mirada, CA 90638-2512 | 2008-05-07 |
| 1720106032 | Lien Kim Nguyenle | Pharmacist | 15131 Matisse Cir, La Mirada, CA 90638-4733 | 2007-03-26 |
| 1811014079 | Marc Gasca | Pharmacist | 11945 Kibbee Ave, La Mirada, CA 90638-1518 | 2007-03-23 |
| 1447238498 | Valley View Drug Co. Inc. | Pharmacist | 13966 Valley View Ave, La Mirada, CA 90638-3503 | 2006-01-09 |
| Find all providers in LA MIRADA | ||||
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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.