DR. ALEXANDER TAEJIN KIM (NPI# 1417099474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417099474 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDER TAEJIN KIM |
| Credential | O.D. |
| Practice Address |
3873 Wilshire Blvd Los Angeles CA 90010-3202 |
| Practice Telephone | 2133878325 |
| Mailing Telephone | 2133878325 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 9649 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056855 | Alexander Kim | Dentist | 4494 N Palmer Road Wrnmmc Buliding 9 Rm 2670, Bethesda, MD 20889-0001 | 2017-07-25 |
| 1467808774 | Alexander Hyun Kim | Acupuncturist | 23618 Locust Way, Bothell, WA 98021-9260 | 2016-05-05 |
| 1609190354 | Alexander H Kim | Internal Medicine | 1828 E Cesar Chavez, Suite 6200, Los Angeles, CA 90033-2585 | 2010-03-24 |
| 1841429404 | Alexander S Kim | Allergy & Immunology | 9500 Gilman Dr Dept 635, La Jolla, CA 92093-0635 | 2009-07-03 |
| 1780899328 | Alexander Kim | Dentist | 30 W 32nd St, 5th, New York, NY 10001-3817 | 2007-05-14 |
| 1265504583 | Alexander P Kim | Internal Medicine | 870 Shasta St Ste 200, Yuba City, CA 95991-4117 | 2006-11-14 |
| 1386726743 | Alexander Thomas Kim | Dentist | 485 34th St Ste 200, Oakland, CA 94609-2823 | 2006-10-19 |
| 1457356057 | Alexander Youngwhan Kim | Dentist | 5318 Nc Highway 55 Ste 106, Durham, NC 27713-9660 | 2005-06-20 |
| 1184139685 | Alexander Kim | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2017-12-06 |
| 1598287484 | Alexander Y Kim | Dentist | 1135 W University Ave, Georgetown, TX 78628-5313 | 2017-07-12 |
| Street Address |
3873 WILSHIRE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90010-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336281013 | Wilshire Optometry Inc. | Optometrist | 3873 Wilshire Blvd, Los Angeles, CA 90010-3202 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454204 | Sage Minds | Psychiatry & Neurology | 3860 Wilshire Blvd, P04-1188, Los Angeles, CA 90010 | 2020-07-07 |
| 1629602750 | Shalva, A Psychology Corporation | Counselor | 4221 Wilshire Boulevlard, Suite 170b, Los Angeles, CA 90010 | 2020-02-27 |
| 1609346287 | Leticia Arteaga | Marriage & Family Therapist | 3580 Wilshire Blvd Suite 800, Los Angeles, CA 90010 | 2018-11-27 |
| 1891265559 | Maria Nguyen | Case Manager/Care Coordinator | 3424 Wilshire Blvd Ste 1000, Los Angeles, CA 90010 | 2018-11-26 |
| 1568955474 | Cherie Emi Okada | Student in an Organized Health Care Education/Training Program | 358 Wilshire Blvd, Suite 2000, Los Angeles, CA 90010 | 2018-06-14 |
| 1780101832 | Bj Park, Chiropractic | Acupuncturist | 3020 Wilshire Blvd., Suite 220, Los Angeles, CA 90010 | 2017-08-29 |
| 1952828188 | Karin Alm | Case Manager/Care Coordinator | 3580 Wilshire Blvd., Suite 2000, Los Angeles, CA 90010 | 2017-08-28 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
| 1629446281 | Praveena Chinniah | Behavioral Analyst | 4221 Wilshire Blvd., Suite 300a, Los Angeles, CA 90010 | 2015-09-11 |
| Find all providers in zip 90010 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
| 1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
| 1467064766 | Quynh Trang Diep | Optometrist | 222 S Central Ave Apt 400, Los Angeles, CA 90012-4231 | 2020-08-18 |
| 1114547619 | Eyecare Specialists Medical Group, Inc. | Optometrist | 1711 W Temple St Ste 5665, Los Angeles, CA 90026-5421 | 2020-04-24 |
| 1487283362 | Daisy Lee Spearman | Optometrist | 5136 W Slauson Ave, Los Angeles, CA 90056-1641 | 2020-04-03 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1841837242 | Hollywood Optometrist | Optometrist | 1300 N Vermont Ave Ste 703, Los Angeles, CA 90027-6089 | 2019-12-04 |
| 1770124570 | Manchester Optometry Eye Care | Optometrist | 10024 S Vermont Ave Ste 2, Los Angeles, CA 90044-3112 | 2019-10-02 |
| 1124588165 | Evelynne Chavez | Optometrist | 11301 Wilshire Blvd Bldg 304, Los Angeles, CA 90073-1003 | 2019-03-25 |
| 1467929265 | Galina Vardanyan | Optometrist | 621 S Western Ave Ste 214, Los Angeles, CA 90005 | 2018-10-30 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90010 |
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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.