PETER J KIM (NPI# 1235242199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235242199 |
| Entity Type | Individual |
| Full Name | PETER J KIM |
| Credential | MD |
| Practice Address |
200 Medical Plz # 365, 420 Los Angeles CA 90095-0001 |
| Mailing Address |
5767 W Century Blvd Suite # 200 Los Angeles CA 90045-5632 |
| Practice Telephone | 3108252448 |
| Practice Fax Number | 3107946553 |
| Mailing Telephone | 3103018708 |
| Mailing Fax Number | 3103018751 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
C52913 | CA | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
213625 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C529130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295298891 | Peter Y Kim | Specialist | 1380 Howard St # 201c, San Francisco, CA 94103-2638 | 2019-04-10 |
| 1922518208 | Peter Kim | Dentist | 15737 E Prentice Dr, Centennial, CO 80015-4264 | 2017-10-02 |
| 1336593391 | Peter Eugene Kim | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Radiology, Albany, NY 12208 | 2016-04-15 |
| 1821475369 | Peter Eusuk Kim | Dentist | 4649 Loma Del Sur Dr, Apt 3307, El Paso, TX 79934-3350 | 2015-05-05 |
| 1497041438 | Peter P Kim | Orthotic Fitter | 720 S. Ramona Ave., Suite 103, Corona, CA 92879-2147 | 2011-06-28 |
| 1184915761 | Peter Hwa Kim | Acupuncturist | 801 N Tustin Ave Ste 501, Santa Ana, CA 92705-3609 | 2011-04-29 |
| 1821257528 | Peter Simon Kim | Podiatrist | 5220 Pacific Concourse Dr, Ste 120, Los Angeles, CA 90045-6244 | 2008-06-06 |
| 1164603965 | Peter Yeon-seong Kim | Internal Medicine | 1400 Pressler, Suite Fct 11.5012, Md Anderson Cancer - Pickens Academic Tower, Houston, TX 77030 | 2007-11-20 |
| 1972725844 | Peter M Kim | Dentist | 2415 G St, Bakersfield, CA 93301-2809 | 2007-05-02 |
| 1053454983 | Peter Sang Kim | Acupuncturist | 929 N Western Ave, Los Angeles, CA 90029-3215 | 2007-02-14 |
| Street Address |
200 MEDICAL PLZ # 365, 420 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789287 | Afshin Akhavan Safa | Radiology | 200 Medical Plz, Suite B265, Los Angeles, CA 90095-0001 | 2005-06-13 |
| 1700316239 | Andrew Scott | Pharmacy | 200 Medical Plz, Los Angeles, CA 90095-0001 | 2017-06-18 |
| 1861943037 | Rebecca Gebremichael | Audiologist | 200 Medical Plz, 540, Los Angeles, CA 90095-0001 | 2016-10-21 |
| 1649640707 | Mehdi Mohamadnejad | Internal Medicine | 200 Medical Plz, Suite 365 C, Los Angeles, CA 90095-0001 | 2015-10-01 |
| 1154799542 | Gerd Ken Herrmann | Nuclear Medicine | 200 Medical Plz, Suite B114, Los Angeles, CA 90095-0001 | 2015-09-02 |
| 1902291354 | Miranda Westfall | Dietitian, Registered | 200 Medical Plz, Suite 265, Los Angeles, CA 90095-0001 | 2015-04-02 |
| 1508255191 | Nicole Anne Schussel | Speech-Language Pathologist | 200 Medical Plz, Suite 540, Los Angeles, CA 90095-0001 | 2015-01-20 |
| 1821492414 | Sherly Cherian | Dietitian, Registered | 200 Medical Plz, Suite 530, Los Angeles, CA 90095-0001 | 2014-10-10 |
| 1548502644 | Lisa Kay Tritico | General Acute Care Hospital | 200 Medical Plz, Suite 660, Los Angeles, CA 90095-0001 | 2013-03-27 |
| 1184966210 | Ucla Health Systems | Clinic/Center | 200 Medical Plz, Suite 660, Los Angeles, CA 90095-0001 | 2013-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285155010 | David Alexandre Chetrit | Internal Medicine | 757 Westwood Plaza, Rheumatology, Los Angeles, CA 90095-6130 | 2017-07-01 |
| 1780028209 | Alexander Paschal Ruggieri | Internal Medicine | 1130 S Flower St, 219, Los Angeles, CA 90015-2139 | 2013-04-26 |
| 1952614000 | Paul Pao-shan Lin | Internal Medicine | 8610 Sepulveda Blvd ., Suite 109, Los Angeles, CA 90045 | 2010-07-19 |
| 1972740439 | Synergetic Health Medical Group | Internal Medicine | 9201 W Sunset Blvd Ste 212, Los Angeles, CA 90069-3703 | 2009-01-20 |
| 1538338116 | Christine Mcfadden Evelyn | Internal Medicine | 2025 Zonal Ave, Hmr 711, Los Angeles, CA 90089-0110 | 2008-02-27 |
| 1962684423 | Suzanne Kafaja | Internal Medicine | 1000 Veteran Ave. Ucla Division of Rheumatology, 32-59, Los Angeles, CA 90024-2704 | 2007-11-27 |
| 1275614455 | Brian N Huh | Internal Medicine | 520 S Virgil Ave Ste 300, Los Angeles, CA 90020-1425 | 2006-10-17 |
| 1043305394 | Seon Ho Whang | Internal Medicine | 3663 W 6th St Ste 106, Los Angeles, CA 90020-3047 | 2006-10-03 |
| 1821002627 | Stephen Leon Bland | Internal Medicine | 1127 Wilshire Boulevard, Ste 1010, Los Angeles, CA 90017-4001 | 2006-07-28 |
| 1528080090 | Assa Weinberg | Internal Medicine | 6464 Sunset Blvd., #1010, Assa Weinberg, Md, Los Angeles, CA 90028 | 2006-07-24 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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| 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.