MYOUNG SUN JO (NPI# 1356682009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356682009 |
| Entity Type | Individual |
| Full Name | MYOUNG SUN JO |
| Credential | R.D. |
| Practice Address |
1145 W Redondo Beach Blvd Gardena CA 90247-3528 |
| Practice Telephone | 3105324200 |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2016-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 977971 | Dietary & Nutritional Service Providers |
| Street Address |
1145 W REDONDO BEACH BLVD |
| City | GARDENA |
| State | CA |
| Zip Code | 90247-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412005 | Gardena Hospital Lp | Skilled Nursing Facility | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3528 | 2005-07-29 |
| 1609435106 | Jeanie Chen | Pharmacist | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3511 | 2019-06-07 |
| 1295243582 | Juanillo Ramos | Respiratory Therapist, Registered | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3511 | 2018-01-20 |
| 1710419064 | Evan Gill | Emergency Medicine | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3511 | 2017-03-28 |
| 1891182374 | Ivy Chang | Emergency Medicine | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3511 | 2015-04-22 |
| 1932512969 | Munenori Nishihira | Pharmacist | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3511 | 2014-06-06 |
| 1518303775 | John Andrew Henderson | Emergency Medicine | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3511 | 2013-05-15 |
| 1376834937 | Redondo Emergency Physicians, Inc. | Emergency Medicine | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3528 | 2011-04-29 |
| 1710117924 | Rajinder Kaur Sekhon | Emergency Medicine | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3528 | 2009-07-22 |
| 1619133659 | Hang T Tran | Emergency Medicine | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3528 | 2008-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204707 | Melissa Reyes | Home Health Aide | 835 N Rosecrans Ave Apt 125, Gardena, CA 90247 | 2020-10-30 |
| 1538645569 | Christopher Jabarie Markham | Case Manager/Care Coordinator | 12817 S Hoover St Apt 14, Gardena, CA 90247 | 2018-07-12 |
| 1013404243 | Sunshine Community Resource Organization Center | Counselor | 1202 W 135th Street, Gardena, CA 90247 | 2018-04-13 |
| 1124537261 | Nina Vu | Pharmacist | 14416 Plum Lane, Unit 3, Gardena, CA 90247 | 2017-09-20 |
| 1356871008 | Delaram Moshfegh | Pharmacist | 1735 Artesia Blvd, Gardena, CA 90247 | 2017-06-15 |
| 1497290522 | Better Vision Optical | Eyewear Supplier (Equipment, not the service) | 1121 W Gardena Blvd Ste A, Gardena, CA 90247 | 2016-12-28 |
| 1013394832 | Lydia Gonzalez | Case Management | 13605 S Vermont Ave Apt 16, Gardena, CA 90247 | 2015-04-30 |
| 1396147682 | Daniel Medical Group, Inc. | Acupuncturist | 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 | 2014-09-18 |
| 1386913663 | Linda Doreen Humphries | Nurse Practitioner | 1141 W. Redondo Beach Blvd., Suite 402, Gardena, CA 90247 | 2011-12-15 |
| 1215229547 | Everett D Wong | Social Worker | 1045 W Redondo Beach Blvd Ste 150, Gardena, CA 90247 | 2011-05-04 |
| Find all providers in zip 90247 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902826555 | Esther Montgomery Shields-jones | Dietitian, Registered | 1251 W. Redondo Beach Blvd, Gardena Community Base Outpatient Clinic, Gardena, CA 90247 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083448 | Fuad Al Qudsi | Dietitian, Registered | 25874 Carmel Knolls Dr, Carmel, CA 93923-8830 | 2020-11-08 |
| 1700487535 | Katherine Zanville | Dietitian, Registered | 4928 Bellaire Ave, Valley Village, CA 91607-3419 | 2020-11-06 |
| 1760083711 | Gabriela E Zeagler | Dietitian, Registered | 1522 Halifax Way, El Dorado Hills, CA 95762-5841 | 2020-11-05 |
| 1427659796 | Yun Chieh Huang | Dietitian, Registered | 733 W Naomi Ave, Arcadia, CA 91007-7561 | 2020-11-03 |
| 1497356794 | Jelena Etemovic | Dietitian, Registered | 2517 S Alma St Apt 1, San Pedro, CA 90731-5738 | 2020-11-03 |
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1912507708 | Eileen Hsiung | Dietitian, Registered | 830 Polaris Dr, Tustin, CA 92782-1720 | 2020-10-29 |
| 1912507831 | Aneeta Maria Vedula | Dietitian, Registered | 4371 Lombard Ave, Fremont, CA 94536-4929 | 2020-10-29 |
| 1336749449 | Sd Nutrition Group | Dietitian, Registered | 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 | 2020-10-28 |
| 1952901373 | Rubit Quintero-cobian | Dietitian, Registered | 3557 Willis Dr, Napa, CA 94558-2452 | 2020-10-26 |
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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.