EUNICE GOWOON KIM (NPI# 1275019143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275019143 |
| Entity Type | Individual |
| Full Name | EUNICE GOWOON KIM |
| Credential | DDS |
| Practice Address |
2805 S San Pedro St Los Angeles CA 90011-2023 |
| Mailing Address |
1200 S Grand Ave Apt 657 Los Angeles CA 90015-3960 |
| Practice Telephone | 7089490395 |
| Mailing Telephone | 7089490395 |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
102783 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831728328 | Eunice Kim | Student in an Organized Health Care Education/Training Program | 18140 Spyglass Hl, Yorba Linda, CA 92886-6136 | 2020-04-06 |
| 1225415441 | Eunice Yoon Suk Kim | Dentist | 804 Pershing Dr Ste 102, Silver Spring, MD 20910-4436 | 2015-04-27 |
| 1114317377 | Eunice Kim | Social Worker | 230 West 17th Street, New York, NY 10011 | 2015-01-27 |
| 1215359237 | Eunice Kim | Occupational Therapist | 3510 Maricopa St Apt 1403, Torrance, CA 90503-4989 | 2014-01-09 |
| 1306197520 | Eunice Kim | Family Medicine | 25941 Campo Cv, Loma Linda, CA 92354-6531 | 2012-09-27 |
| 1336429836 | Eunice Kim | Pharmacist | 1600 N Harlem Ave, Elmwood Park, IL 60707-4302 | 2011-08-28 |
| 1437797867 | Eunice Seyoung Kim | Pharmacist | 13652 Cantara St Bldg 4, Panorama City, CA 91402-5423 | 2019-12-16 |
| 1932766474 | Eunice Jeongin Kim | Student in an Organized Health Care Education/Training Program | 760 Broadway, Brooklyn, NY 11206-5317 | 2019-05-21 |
| 1679137350 | Eunice Kim | Behavior Technician | 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 | 2019-04-27 |
| 1932690807 | Eunice Dahyeh Kim | Counselor | 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904 | 2018-05-25 |
| Street Address |
2805 S SAN PEDRO ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90011-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982777918 | Hyung-ju John Kim | Dentist | 2805 S San Pedro St, Los Angeles, CA 90011-2023 | 2006-11-16 |
| 1225640774 | Chang Ryul Lee | Dentist | 2805 S San Pedro St, Los Angeles, CA 90011-2023 | 2020-08-17 |
| 1821576232 | Youngho Yun | Dentist | 2805 S San Pedro St, Los Angeles, CA 90011-2023 | 2018-07-30 |
| 1588189179 | Hayeun Kim | Dentist | 2805 S San Pedro St, Los Angeles, CA 90011-2023 | 2017-08-04 |
| 1619101540 | Hyung-ju John Kim Dds Inc | Dentist | 2805 S San Pedro St, Los Angeles, CA 90011-2023 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223935 | Commercial & Housing Support Aid | Assisted Living Facility | 120 - 122 East 24th Street, Los Angeles, CA 90011 | 2020-10-22 |
| 1295377711 | Joseph D Madrigal | Home Health Aide | 1977 Anzac Ave, Los Angeles, CA 90011 | 2019-10-16 |
| 1538641212 | Brenda Bahena | Community Health Worker | South Central Family Health Center, 4425 S. Central Ave, Los Angeles, CA 90011 | 2018-08-30 |
| 1083101851 | Bronwyn Anne Hazlewood | Student in an Organized Health Care Education/Training Program | 3740 Maple Ave, 1/2 B, Los Angeles, CA 90011 | 2018-04-17 |
| 1164941183 | Kimberly Denise Lister- Gutierrez | Counselor | 303 E 52nd Street, Los Angeles, CA 90011 | 2017-09-11 |
| 1205252533 | Jameese B Smith | Case Manager/Care Coordinator | 271 E. 43rd Street, Los Angeles, CA 90011 | 2014-03-11 |
| 1033533153 | Avalon-carver Community Center | Community/Behavioral Health | 4920 S. Avalon Blvd, Los Angeles, CA 90011 | 2014-02-10 |
| 1245672500 | Kellie D Bougard | Student in an Organized Health Care Education/Training Program | 4920 South Avalon Blvd, Los Angeles, CA 90011 | 2013-07-26 |
| 1578909404 | Ma. Jasmin F Binas | Nurse Practitioner | 2707 S.central Ave., Los Angeles, CA 90011 | 2013-05-19 |
| 1912343344 | California Assisted Pharmacy, Inc | Pharmacy | 646 E 28th St, Ste #1, Los Angeles, CA 90011 | 2013-05-13 |
| Find all providers in zip 90011 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349082 | Reza Mehr | Dentist | 900 W Temple St Apt 506, Los Angeles, CA 90012-4551 | 2020-08-31 |
| 1396355590 | Kamyar Moradian | Dentist | 9201 Venice Blvd, Los Angeles, CA 90034-3324 | 2020-08-04 |
| 1669096160 | Leora H Sheily Dds PC | Dentist | 4852 Melrose Ave, Los Angeles, CA 90029-3736 | 2020-06-01 |
| 1013539535 | Smit Dangaria Dds Phd Inc | Dentist | 1325 S Harvard Blvd, Los Angeles, CA 90006-4229 | 2020-05-07 |
| 1912530585 | Sara Bahri Sabokpey | Dentist | 2001 Stradella Rd, Los Angeles, CA 90077-2322 | 2020-02-21 |
| 1518504497 | Jonathan Dye | Dentist | 1626 Palo Alto St Apt 102, Los Angeles, CA 90026-5052 | 2019-12-10 |
| 1972147940 | Catherine Margary Cuaco Begazo | Dentist | 100 S Doheny Dr Apt 209, Los Angeles, CA 90048-2926 | 2019-11-03 |
| 1386285427 | Jefferson Dental Corporation | Dentist | 12013 Wilshire Blvd, Los Angeles, CA 90025-1201 | 2019-09-30 |
| 1043868698 | Semyon Segal | Dentist | 2815 W Sunset Blvd Ste 106, Los Angeles, CA 90026-2168 | 2019-08-27 |
| 1144875592 | Jay Singh | Dentist | 11346 Iowa Ave Apt 203, Los Angeles, CA 90025-6085 | 2019-08-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90011 |
Please comment or provide details below to improve the information on EUNICE GOWOON 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.