JENIFER HYO JIN KIM (NPI# 1164997698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164997698 |
| Entity Type | Individual |
| Full Name | JENIFER HYO JIN KIM |
| Credential | PA |
| Practice Address |
8635 W 3rd St Ste 590w Los Angeles CA 90048-6163 |
| Mailing Address |
3970 Ingraham St Unit 105 Los Angeles CA 90005-3255 |
| Practice Telephone | 3104231220 |
| Mailing Telephone | 2132841415 |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2018-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 56102 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
56102 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8635 W 3RD ST STE 590W |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-6163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235150491 | Frank L Rimell | Otolaryngology | 8635 W 3rd St Ste 590w, Los Angeles, CA 90048-6163 | 2006-07-22 |
| 1699316422 | Neal Thaker | Physician Assistant | 8635 W 3rd St Ste 590w, Los Angeles, CA 90048-6163 | 2019-10-02 |
| 1689925935 | Nabilah Ali | Specialist | 8635 W 3rd St Ste 590w, Los Angeles, CA 90048-6163 | 2012-09-26 |
| 1104196203 | Vesna Grubic | Nurse Practitioner | 8635 W 3rd St Ste 590w, Los Angeles, CA 90048-6163 | 2012-01-05 |
| 1932390390 | Irene K Kim | Transplant Surgery | 8635 W 3rd St Ste 590w, Los Angeles, CA 90048-6163 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023390606 | Emily Elizabeth Talmich | Physician Assistant | 1450 San Pablo St # 6200, Los Angeles, CA 90033-5331 | 2011-09-09 |
| 1891089892 | Claudia G Pierola | Physician Assistant | 12311 Pacific Ave Apt 5, Los Angeles, CA 90066-4421 | 2011-06-07 |
| 1124280987 | Sue Kim | Physician Assistant | 9201 W Sunset Blvd Ste 404, Los Angeles, CA 90069-3705 | 2008-07-01 |
| 1699948596 | Christopher Tatum | Physician Assistant | 637 S Lucas Ave, Fl 1, Los Angeles, CA 90017 | 2008-04-11 |
| 1194848457 | Sebastian Fuentes | Physician Assistant | 2200 W 3rd St Ste 300, Los Angeles, CA 90057-1936 | 2007-04-09 |
| 1245396092 | Patricia Delcarmen Jimenez | Physician Assistant | 1718 Hollyvista Ave, Los Angeles, CA 90027-4626 | 2006-12-28 |
| 1063078897 | Laura Monica Manosalva Vargas | Physician Assistant | 11301 Wilshire Blvd, Bldg.500, Nsgy Suite 6664, Los Angeles, CA 90073 | 2019-05-16 |
| 1548736903 | Jocelyn Choy | Physician Assistant | 1245 Wilshire Blvd, Los Angeles, CA 90017-4810 | 2018-10-23 |
| 1457839649 | Kareem Sharaf | Physician Assistant | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2018-07-31 |
| 1689166787 | Lennie Thanh Ho Ngo | Physician Assistant | 1225 Wilshire Blvd, Los Angeles, CA 90017 | 2018-06-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
Please comment or provide details below to improve the information on JENIFER HYO JIN 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.