KENNETH K KIM (NPI# 1295776474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295776474 |
| Entity Type | Individual |
| Full Name | KENNETH K KIM |
| Credential | M.D. |
| Practice Address |
520 S Virgil Ave Suite 106 Los Angeles CA 90020-1416 |
| Mailing Address |
P.o. Box 741519 Los Angeles CA 90004 |
| Practice Telephone | 2132345575 |
| Practice Fax Number | 2134279850 |
| Mailing Telephone | 2132345575 |
| Mailing Fax Number | 2134279850 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G71557 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205210929 | Kenneth Kim | Dentist | 6519 Fm 1488, Westwood Village, #505, Magnolia, TX 77354 | 2015-07-13 |
| 1437547528 | Kenneth Kim | Registered Nurse | 59 Grafe St, Staten Island, NY 10309-1774 | 2014-12-26 |
| 1760741342 | Kenneth Taik Kim | Physical Therapist | 3301 S Hoover St, Los Angeles, CA 90007-3557 | 2012-05-16 |
| 1952473274 | Kenneth Kwanyoung Kim | Surgery | 10830 Garland Dr, Culver City, CA 90232-3755 | 2006-11-14 |
| 1205833563 | Kenneth T Kim | Allergy & Immunology | 2600 Redondo Ave, Ste 400, Long Beach, CA 90806-2330 | 2005-07-01 |
| 1710509054 | Kenneth C Kim | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-05-09 |
| 1003441262 | Kenneth Taeyoung Kim | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-03-09 |
| 1164914339 | Kenneth Kim | Student in an Organized Health Care Education/Training Program | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2018-06-04 |
| 1780942375 | Kenneth Kim | Emergency Medicine | 101 The City Dr S Bldg 200, Orange, CA 92868-3201 | 2012-05-02 |
| 1568690832 | Kenneth Pak Kim | Anesthesiology | 707 Sw Washington St, Ste 700, Portland, OR 97205-3536 | 2009-06-25 |
| Street Address |
520 S VIRGIL AVE SUITE 106 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043296866 | Pilsoo Oh | Internal Medicine | 520 S Virgil Ave, Suite 202, Los Angeles, CA 90020-1416 | 2005-12-22 |
| 1134650500 | Southern California Foot and Ankle Center | Podiatrist | 520 S Virgil Ave, Suite 105, Los Angeles, CA 90020-1416 | 2017-03-27 |
| 1952786089 | Gregory K. Hong Medical Corporation | Specialist | 520 S Virgil Ave, Suite 501, Los Angeles, CA 90020-1416 | 2015-07-30 |
| 1942608302 | Jaehyun Kim | Occupational Therapist | 520 S Virgil Ave, 201, Los Angeles, CA 90020-1416 | 2014-12-16 |
| 1790188928 | Ryu Physical Therapy, PC | Clinic/Center | 520 S Virgil Ave, Suite 504, Los Angeles, CA 90020-1416 | 2014-10-02 |
| 1205247376 | Jai H Lee Md A Professional Corporation | Orthopaedic Surgery | 520 S Virgil Ave, Suite 103, Los Angeles, CA 90020-1416 | 2014-05-12 |
| 1730502949 | Sang Sang Oriental Med.clinic | Acupuncturist | 520 S Virgil Ave, Suite 502, Los Angeles, CA 90020-1416 | 2014-01-23 |
| 1497178701 | Yeagee Choe | Acupuncturist | 520 S Virgil Ave, Suite 502, Los Angeles, CA 90020-1416 | 2014-01-23 |
| 1942633235 | Insoo Kim Chiropractic Corporation | Clinic/Center | 520 S Virgil Ave, Suite 206, Los Angeles, CA 90020-1416 | 2013-08-09 |
| 1205108024 | Min Young Cha Md Inc | Internal Medicine | 520 S Virgil Ave, 507, Los Angeles, CA 90020-1425 | 2012-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948048 | Edwina Antoinette Hunter | Community Health Worker | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | 2017-08-22 |
| 1639520661 | Jacqueline Carrasco | Counselor | 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 | 2016-06-30 |
| 1649630914 | Hee Seung Lee | Marriage & Family Therapist | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | 2016-03-01 |
| 1134596273 | Jocelyn Marie Lee | Optometrist | 3750 W 6th St Ste 113, Los Angeles, CA 90020 | 2015-08-24 |
| 1316327075 | Lourdes Encarnacion Araujo | Social Worker | 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 | 2015-06-08 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1538566047 | Calvin A. Kim | Internal Medicine | 4220 W 3rd St Ste 201, Los Angeles, CA 90020 | 2014-11-26 |
| 1093115792 | John Abaya | Counselor | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | 2014-08-29 |
| 1528494481 | Sung Eun Lee | Acupuncturist | 340 S New Hampshire Ave #211, Los Angeles, CA 90020 | 2013-09-23 |
| 1861836587 | Robert Lee Smalls Jr. | Marriage & Family Therapist | 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 | 2013-04-24 |
| Find all providers in zip 90020 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1376159939 | Margarette Morney-kuanyawo | Family Medicine | 515 S Fuller Ave, Los Angeles, CA 90036-3244 | 2020-09-18 |
| 1780207803 | Julia Solis | Family Medicine | 1414 S Grand Ave Ste 200&380, Los Angeles, CA 90015-3067 | 2020-05-22 |
| 1033739578 | Now Medical | Family Medicine | 1333 S Hill St, Los Angeles, CA 90015-3012 | 2020-04-24 |
| 1710514930 | Los Angeles Medical Center Foundation | Family Medicine | 2010 Wilshire Blvd Fl 2, Los Angeles, CA 90057-3507 | 2020-03-26 |
| 1740817212 | Quality Medical Group Inc | Family Medicine | 5230 Pacific Concourse Dr Ste 110, Los Angeles, CA 90045-6258 | 2020-03-25 |
| 1760012108 | Majid Sabour Md. PC. | Family Medicine | 1125 S Beverly Dr Ste 420, Los Angeles, CA 90035-1191 | 2020-01-24 |
| 1164061461 | Sequoia Quality Health Inc | Family Medicine | 2007 Wilshire Blvd Fl 3, Los Angeles, CA 90057-3519 | 2020-01-03 |
| 1437792447 | Northeast Community Clinic | Family Medicine | 1414 S Grand Ave Ste 300, Los Angeles, CA 90015-3072 | 2019-10-22 |
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90020 |
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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.