HAN NA KIM (NPI# 1124645122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124645122 |
| Entity Type | Individual |
| Full Name | HAN NA KIM |
| Practice Address |
42520 Bob Hope Dr Rancho Mirage CA 92270-4471 |
| Mailing Address |
73373 Country Club Dr Apt 2015 Palm Desert CA 92260-8633 |
| Practice Telephone | 7605685651 |
| Mailing Telephone | 3109720051 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 80895 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013432632 | Han Kim | Dentist | 133 Whispering Trl, Irvine, CA 92602-0800 | 2017-08-04 |
| 1912241134 | Han Seong Kim | Chiropractor | 151 87th St, Suite 1, Daly City, CA 94015-1696 | 2012-11-15 |
| 1538369285 | Han Na Kim | Physical Therapist | 41-09 108th St., Suite Ll, Corona, NY 11368 | 2007-07-20 |
| 1134768047 | Han Man Kim | Physical Therapist | 827 Ne Lakewood Blvd, Lees Summit, MO 64064-1366 | 2019-12-26 |
| 1861946683 | Han S. Kim | Dentist | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2016-08-10 |
| 1003241191 | Han Sung Kim | Speech-Language Pathologist | 2103 Tenakill Park E, Cresskill, NJ 07626-2023 | 2013-09-07 |
| 1760821375 | Han Kim | Ophthalmology | 4860 Y St Ste 2400, Sacramento, CA 95817-2307 | 2013-06-17 |
| 1447484647 | Han Sung Kim | Dentist | 2727 W Olympic Blvd, 311, Los Angeles, CA 90006-2637 | 2009-05-04 |
| 1376710665 | Han Jo Kim | Orthopaedic Surgery | 535 E 70th St, New York, NY 10021-4823 | 2008-05-15 |
| 1730292855 | Han Woong Kim | Internal Medicine | 4101 N Roxboro St, Durham, NC 27704-2121 | 2006-08-15 |
| Street Address |
42520 BOB HOPE DR |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-4471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053354225 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 42520 Bob Hope Dr, Rancho Mirage, CA 92270-4471 | 2006-06-14 |
| 1346849239 | Tatiana Jenistova | Pharmacist | 42520 Bob Hope Dr, Rancho Mirage, CA 92270-4471 | 2020-10-21 |
| 1093206351 | Julie Song | Pharmacist | 42520 Bob Hope Dr, Rancho Mirage, CA 92270-4471 | 2018-05-22 |
| 1861843112 | Matthew Groves | Pharmacist | 42520 Bob Hope Dr, Rancho Mirage, CA 92270-4471 | 2016-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| 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 |
|---|---|---|---|---|
| 1780021477 | Stewart Chu | Pharmacist | 39000 Bob Hope Dr # 114, Rancho Mirage, CA 92270-3221 | 2013-06-04 |
| 1457657850 | Cesar A Davlantes | Pharmacist | 7 Cartier Ct, Rancho Mirage, CA 92270-2712 | 2011-02-01 |
| 1639404759 | Jody Sue Mills | Pharmacist | 129 Clearwater Way, Rancho Mirage, CA 92270-1754 | 2009-10-07 |
| 1922086156 | Andreas Gomarooni | Pharmacist | 70077 Ramon Rd, Rancho Mirage, CA 92270-5201 | 2006-01-06 |
| 1497754824 | Enrique Gaete | Pharmacist | 4 Waterloo Ct, Rancho Mirage, CA 92270-1663 | 2005-07-18 |
| 1346849239 | Tatiana Jenistova | Pharmacist | 42520 Bob Hope Dr, Rancho Mirage, CA 92270-4471 | 2020-10-21 |
| 1457999062 | Scott Jeffrey Hohmann | Pharmacist | 40101 Monterey Ave, Rancho Mirage, CA 92270-3261 | 2019-12-13 |
| 1093206351 | Julie Song | Pharmacist | 42520 Bob Hope Dr, Rancho Mirage, CA 92270-4471 | 2018-05-22 |
| 1861843112 | Matthew Groves | Pharmacist | 42520 Bob Hope Dr, Rancho Mirage, CA 92270-4471 | 2016-06-28 |
| 1811343304 | Shailaja Karanti | Pharmacist | 72780 Country Club Dr, Ste # 403, Rancho Mirage, CA 92270-4126 | 2016-05-13 |
| Find all providers in RANCHO MIRAGE | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
Please comment or provide details below to improve the information on HAN NA KIM.
| 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.