DR. KATHERINE J. KIM (NPI# 1174610851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174610851 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE J. KIM |
| Credential | M.D. |
| Practice Address |
3811 Valley Centre Dr San Diego CA 92130-3318 |
| Mailing Address |
54433 File Los Angeles CA 90074-0001 |
| Practice Telephone | 8587643000 |
| Practice Fax Number | 8587845933 |
| Mailing Telephone | 8587845767 |
| Mailing Fax Number | 8587845933 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A85805 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184087736 | Katherine Kim | Student in an Organized Health Care Education/Training Program | 10 Faith, Irvine, CA 92612-3252 | 2016-03-31 |
| 1851553259 | Katherine K Kim | Dentist | 45 Ludlow St Ste 410, Yonkers, NY 10705 | 2008-06-26 |
| 1598946097 | Katherine Echo Kim | Acupuncturist | 25 Sylvan Rd S Ste F, Westport, CT 06880-4637 | 2007-11-26 |
| 1114033206 | Katherine Kim | Optometrist | 5169 Vista Del Amigo, Yorba Linda, CA 92886-4651 | 2006-08-22 |
| 1386286813 | Katherine Kim | Pharmacist | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2019-10-16 |
| 1962991851 | Katherine Sojung Kim | Psychiatry & Neurology | 550 1st Ave, New York, NY 10016-6402 | 2018-05-07 |
| 1235649021 | Katherine A Kim | Counselor | 1340 Tully Rd Ste 301, San Jose, CA 95122-3055 | 2017-10-05 |
| 1659809317 | Katherine Kim | Physical Therapist | 2110 116th Ave Ne, Bellevue, WA 98004-3040 | 2017-05-25 |
| 1790167757 | Katherine Kim | Surgery | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2015-06-25 |
| 1316340359 | Katherine Kim | Pharmacist | 3101 Donnell Dr, District Heights, MD 20747-3204 | 2014-10-05 |
| Street Address |
3811 VALLEY CENTRE DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92130-3318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851390025 | Karen L Wilson | Pediatrics | 3811 Valley Centre Dr, San Diego, CA 92130 | 2005-07-19 |
| 1154969905 | Allegra Conway | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2019-12-11 |
| 1174168553 | Melissa Alice Mang | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2019-11-09 |
| 1821576158 | Kaitlyn Morrissey | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2018-07-30 |
| 1487162053 | Danielle Boward | Dietitian, Registered | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2018-01-17 |
| 1053837187 | Alison Cusmano | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2017-08-21 |
| 1528508363 | Elizabeth Hawk | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2017-02-27 |
| 1790227452 | Shawna Mellon | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2016-11-12 |
| 1336523331 | Allison Geissert | Nurse Practitioner | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2015-07-20 |
| 1073992723 | Jhanina Dioso | Pediatrics | 3811 Valley Centre Dr, San Diego, CA 92130 | 2015-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692397 | Tlc Family Therapy | Marriage & Family Therapist | 5965 Village Way. Suite 105 #112, San Diego, CA 92130 | 2020-05-29 |
| 1447746169 | Jack Perlov | Psychiatry & Neurology | 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 | 2018-07-05 |
| 1326551003 | Theotokos, LLC | Pharmacy | 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 | 2017-11-16 |
| 1154879146 | Halie Hommes | Occupational Therapist | 12250 El Camino Real Ste 250, San Diego, CA 92130 | 2016-09-19 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1720534951 | Nosti and Rygg Dental Corporation | Dentist | 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 | 2016-08-28 |
| 1831644053 | Marco Savittieri | Dentist | 3715 Ruette De Vl, San Diego, CA 92130 | 2016-08-17 |
| 1336508621 | Discovery Practice Management, Inc | Psychiatric Residential Treatment Facility | 11455 Camino Real, Ste 360, San Diego, CA 92130 | 2016-02-16 |
| 1427434679 | Coast Pediatrics Carmel Valley | Pediatrics | 5965 Village Drive, Suite 201, San Diego, CA 92130 | 2015-08-10 |
| 1659753762 | T Sidal Dds Md Inc | Dentist | 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 | 2015-06-25 |
| Find all providers in zip 92130 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| 1306405998 | Mismo Dermatology Group Apc | Dermatology | 8898 Navajo Rd Ste C-349, San Diego, CA 92119-2141 | 2019-06-07 |
| 1609361740 | Seaver Soon Md Inc | Dermatology | 2044 W California St, San Diego, CA 92110-2121 | 2018-06-29 |
| 1700240249 | Alexandra Edelman | Dermatology | 3965 5th Ave Ste 200, San Diego, CA 92103-3107 | 2016-04-11 |
| 1033572391 | Lauren Metterle | Dermatology | 3020 Childrens Way # 5092, San Diego, CA 92123-4223 | 2016-04-03 |
| 1225493323 | Jeanette Jacknin | Dermatology | 12634 Carmel Country Rd, Suite 126, San Diego, CA 92130-3197 | 2015-12-16 |
| 1417330432 | Eugene Tachuk | Dermatology | 3740 Rosecrans St Ste C, San Diego, CA 92110-3126 | 2015-07-08 |
| 1508203563 | Monica Boen | Dermatology | 9339 Genesee Ave Ste 350, San Diego, CA 92121-2150 | 2013-05-31 |
| 1619311164 | David Otto Schairer | Dermatology | 8010 Frost St Ste 602, San Diego, CA 92123 | 2013-04-25 |
| 1295037760 | Susan Ann Kincaid | Dermatology | 1951 4th Ave Ste 202, San Diego, CA 92101-2374 | 2010-12-03 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on DR. KATHERINE J. 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.