DONGWUK KOH (NPI# 1285047886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285047886 |
| Entity Type | Individual |
| Full Name | DONGWUK KOH |
| Practice Address |
4790 Irvine Blvd Suit 105-180 Irvine CA 92620 |
| Mailing Address |
4790 Irvine Blvd Ste 105-180 Irvine CA 92620-1973 |
| Practice Telephone | 5626775541 |
| Practice Fax Number | 5622025154 |
| Mailing Telephone | 5626775541 |
| Mailing Fax Number | 5622025154 |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
195239 | CA | Eye and Vision Services Providers |
| Street Address |
4790 IRVINE BLVD SUIT 105-180 |
| City | IRVINE |
| State | CA |
| Zip Code | 92620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662586 | Anna Maria Isabelle Muyuela Capati | Social Worker | 59 Sanctuary, Irvine, CA 92620 | 2020-06-03 |
| 1437608361 | Christine Jihae Kim | Dentist | 6 Appomattox, Irvine, CA 92620 | 2016-10-04 |
| 1720534548 | Acupia Wellness | Acupuncturist | 4940 Irvine Blvd Ste 204, Irvine, CA 92620 | 2016-08-31 |
| 1508241779 | Brian Licuanan | Psychologist | 17 Herringbone, Irvine, CA 92620 | 2015-07-29 |
| 1689069791 | Saedeh Nia | Pharmacist | 29 Dusty Rose, Irvine, CA 92620 | 2015-04-06 |
| 1447693742 | Farhad Najafi | Internal Medicine | 26 Sanctuary, Irvine, CA 92620 | 2013-04-17 |
| 1619224524 | Nancy Patricia Hernandez | Counselor | 5 Slocum, Irvine, CA 92620 | 2012-08-09 |
| 1437442118 | Agape Health Care Services | In Home Supportive Care | 636 Grand Canal, Irvine, CA 92620 | 2011-05-27 |
| 1528296290 | Erika Ildiko Gray | Pharmacist | 3 Ninos, Irvine, CA 92620 | 2009-07-01 |
| 1801058938 | Bita Badakhshan | Family Medicine | 6340 Irvine Blv., Irvine, CA 92620 | 2008-06-30 |
| Find all providers in zip 92620 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902396948 | Jin Goo Cho | Technician/Technologist | 14251 Jeffrey Rd, Irvine, CA 92620-3405 | 2018-05-15 |
| 1225693682 | Harold Flores | Technician/Technologist | 3981 Irvine Blvd, Irvine, CA 92602-2400 | 2019-05-01 |
| 1508421959 | Aleksandra Agyin | Technician/Technologist | 3981 Irvine Blvd, Irvine, CA 92602-2400 | 2019-05-01 |
| 1306401765 | Rumil Younan | Technician/Technologist | 3981 Irvine Blvd, Irvine, CA 92602-2400 | 2019-05-01 |
| 1124509138 | Ing Optical,inc | Technician/Technologist | 14251 Jeffrey Rd, Irvine, CA 92620-3405 | 2018-08-27 |
| 1033625264 | Komal G Kumar | Technician/Technologist | 3800 Barranca Pkwy Ste D, Irvine, CA 92606-1200 | 2017-12-26 |
| 1679817092 | Wal-mart Stores Inc | Technician/Technologist | 16555 Von Karman Ave, Irvine, CA 92606-4928 | 2012-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374744 | John Dibos | Technician/Technologist | 343 W Felicita Ave Ste 10, Escondido, CA 92025-6515 | 2020-10-20 |
| 1720686140 | Lens 4 Less Optical, Inc. | Technician/Technologist | 343 W Felicita Ave # 10, Escondido, CA 92025-6515 | 2020-10-16 |
| 1023620648 | Blanca Estela Maldonado | Technician/Technologist | 671 E Cooley Dr Ste 102, Colton, CA 92324-4014 | 2020-08-17 |
| 1619598406 | Heather Siu Shum | Technician/Technologist | 200 E Garvey Ave Ste 109, Monterey Park, CA 91755-1859 | 2020-05-03 |
| 1932738481 | Enrique Metta Fallena | Technician/Technologist | 651 Palomar St Ste A17, Chula Vista, CA 91911-2663 | 2020-04-06 |
| 1629603659 | Linh Lai | Technician/Technologist | 1111 Story Rd Ste 1079, San Jose, CA 95122-2670 | 2020-03-10 |
| 1548895998 | Randy Liu | Technician/Technologist | 1049 Capen Ave, Walnut, CA 91789-3912 | 2020-03-05 |
| 1780214403 | Gary Alan Bates | Technician/Technologist | 2540 Zanella Way Ste 10, Chico, CA 95928-7194 | 2020-01-22 |
| 1336787696 | Michael Yoshio Sujishi | Technician/Technologist | 150 West Carson Street, Store 8839, Carson, CA 90745 | 2019-12-18 |
| 1609413665 | Yan Zlatin | Technician/Technologist | 21001 Sherman Way # 14a, Canoga Park, CA 91303-1760 | 2019-12-09 |
| Find all providers with the same taxonomy | ||||
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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.