SAM KIM PHYSICIAN SERVICES INC (NPI# 1104465541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104465541 |
| Entity Type | Organization |
| Organization Name | SAM KIM PHYSICIAN SERVICES INC |
| Practice Address |
150 N Robertson Blvd Ste 307 Beverly Hills CA 90211-2145 |
| Mailing Address |
466 Foothill Blvd # 307 La Canada CA 91011-3518 |
| Practice Telephone | 3106598687 |
| Practice Fax Number | 3106592420 |
| Mailing Telephone | 8189394511 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | DR. SAMUEL SUNGWON KIM (CEO) |
| Authorized Official Telephone | 8189394511 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
150 N ROBERTSON BLVD STE 307 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023310687 | Samuel Sungwon Kim | Pediatrics | 150 N Robertson Blvd Ste 307, Beverly Hills, CA 90211-2145 | 2010-12-02 |
| 1386165777 | Peter S Waldstein Md A Medical Corporation | Pediatrics | 150 N Robertson Blvd Ste 307, Beverly Hills, CA 90211-2145 | 2017-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216214 | Raha Akhavana Inc. A Professional Medical Corporation | Clinic/Center | 9667 Brighton Way, Beverly Hills, CA 90210-5125 | 2020-08-18 |
| 1932739430 | Grd Acupuncture Clinic | Clinic/Center | 292 S La Cienega Blvd Ste 330, Beverly Hills, CA 90211-3358 | 2020-01-23 |
| 1215319231 | Bnei Akiva Los Angeles | Clinic/Center | 9030 W Olympic Blvd, Beverly Hills, CA 90211-3540 | 2015-06-25 |
| 1912187089 | Integrative Institute for Eastwest A Medical Corporation | Clinic/Center | 9730 Wilshire Blvd Ste 102, Beverly Hills, CA 90212-2003 | 2007-11-06 |
| 1497800445 | Christopher Matyko | Clinic/Center | 6 N Melbourne St, Beverly Hills, FL 34465-3268 | 2007-01-23 |
| 1205933058 | Julia Sverdlova | Clinic/Center | 8920 Wilshire Blvd Ste 414, Beverly Hills, CA 90211-2004 | 2006-09-20 |
| 1346652856 | Mark P Goodman Md Inc | Clinic/Center | 435 N Roxbury Dr, Ste 300, Beverly Hills, CA 90210-5027 | 2014-06-02 |
| 1518276922 | Steven J. Jacobs, Md, Inc | Clinic/Center | 9001 Wilshire Blvd Ste 200, Beverly Hills, CA 90211-1840 | 2010-10-02 |
| 1871741579 | Azael P. Borromeo, M.d., P.. | Clinic/Center | 2 William Tell Ln, Beverly Hills, FL 34465-3785 | 2008-09-05 |
| 1871617365 | Dorothy H. Lowe, M.d. A Medical Corporation | Clinic/Center | 8500 Wilshire Blvd, Suite 605, Beverly Hills, CA 90211-3121 | 2007-03-19 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
Please comment or provide details below to improve the information on SAM KIM PHYSICIAN SERVICES INC.
| 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.