KYUNGYEON KIM


Address: 1770 Rockview Way, Pomona, CA 91766-5285
Phone: 9175758045

KYUNGYEON KIM (NPI# 1194339143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194339143
Entity Type Individual
Full Name KYUNGYEON KIM
Credential RD
Practice Address 1770 Rockview Way
Pomona
CA 91766-5285
Practice Telephone 9175758045
Mailing Telephone 9175758045
Enumeration Date 2020-09-06
Last Update Date 2020-09-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 86072483 Dietary & Nutritional Service Providers
N 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers

Office Location

Street Address 1770 ROCKVIEW WAY
City POMONA
State CA
Zip Code 91766-5285

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1851999494 Justine Arce Massage Therapist 2063 Rancho Valley Drive Suite 320 #208, Pomona, CA 91766 2020-10-15
1699287938 Monika Stephanie Wan Pharmacist 710 Rio Rancho Road, Pomona, CA 91766 2017-10-26
1306386966 Teresa Le Dentist 1898 Wright St, Pomona, CA 91766 2017-03-02
1770971715 Hanzel Mendez Physical Therapist 1080 Verbena Court, Pomona, CA 91766 2014-12-29
1902223589 Anka Behavioral Health, Inc. Community/Behavioral Health 3 Cottontail Dr, Pomona, CA 91766 2014-03-21
1487075578 Fenix Health Medical Group, Inc. Family Medicine 716 East Mission Blvd., Pomona, CA 91766 2013-12-17
1134556012 Imperial Hospice, Inc. Hospice Care, Community Based 363 S Park Ave Ste 105, Pomona, CA 91766 2013-10-08
1497196349 Cohen Sedgh, Manavi & Pakravan Dental Corporation Dentist 763 Rio Rancho Road Suite120, Pomona, CA 91766 2013-07-08
1245573567 Terry Chang Acupuncturist 3060 W. Temple Ave., Pomona, CA 91766 2013-04-04
1215271085 Emmanuel Castro Counselor 4 Village Loop, Phillips Ranch, CA 91766 2012-11-19
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124667639 Patricia Jacqueline Pauyo Dietitian, Registered 262 Richard Ct, Pomona, NY 10970-2305 2019-12-31
1306356274 Iris Epstein & Associates LLC Dietitian, Registered 978 Route 45 Ste 107, Pomona, NY 10970-3512 2017-10-05
1366980765 Sulaima Abdin-arafeh Dietitian, Registered 1425 Laurel Park Ave, Pomona, CA 91768-2837 2017-02-06
1619413457 Miriam Shurpin Dietitian, Registered 9 Emerald Dr, Pomona, NY 10970-2824 2017-01-18
1245600675 Christina Midori Inouye Dietitian, Registered 58 Rolling Hills Dr, Pomona, CA 91766-4831 2015-09-28
1902002983 Nutrition Improvement Center Dietitian, Registered 978 Rte. 45 Northside Plaza, Suite 107, Pomona, NY 10970 2007-06-26
1043265622 Betty Licciardo Dietitian, Registered 1915 Ervilla Ave., Chaparral Medical Group Inc, Pomona, CA 91767-3008 2006-05-23
1184247561 Karina Nava Dietitian, Registered 1555 S Garey Ave, Pomona, CA 91766-5222 2020-05-20
1932674439 Emely Vanessa Reyes Dietitian, Registered 1555 S Garey Ave, Pomona, CA 91766-5222 2018-10-10
1023520319 Jenjira Sorreca Do Dietitian, Registered 1798 N Garey Ave, Pomona, CA 91767-2918 2017-10-26
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Competitor

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City POMONA
Zip Code 91766

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Dataset Information

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.

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