JONATHAN HYUNGSUK KIM (NPI# 1477724441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477724441 |
| Entity Type | Individual |
| Full Name | JONATHAN HYUNGSUK KIM |
| Credential | D.C, L.AC. |
| Practice Address |
3511 W Olympic Blvd 204 Los Angeles CA 90019-3563 |
| Practice Telephone | 3237331200 |
| Practice Fax Number | 3237331201 |
| Mailing Telephone | 3237331200 |
| Mailing Fax Number | 3237331201 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2012-11-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC-30235 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679120091 | Jonathan Kim | Dentist | 7910 W Tropical Pkwy Ste 140, Las Vegas, NV 89149-4555 | 2019-08-20 |
| 1083084404 | Jonathan Kim | Dentist | 27289 Willow Leaf Rd, Moreno Valley, CA 92555-4755 | 2015-09-28 |
| 1497070734 | Jonathan Jaeyoung Kim | Chiropractor | 7 Broad Ave Ste 309, Palisades Park, NJ 07650-1886 | 2010-03-30 |
| 1457527418 | Jonathan H Kim | Dentist | 1725 Berryessa Rd, Suite B, San Jose, CA 95133-1173 | 2008-04-30 |
| 1073698650 | Jonathan Kim | Optometrist | 11903-i Lee Jackson Memorial Hwy. #g133, Fairfax, VA 22033 | 2006-10-25 |
| 1669418893 | Jonathan Yonghwan Kim | Chiropractor | 11766 Firestone Blvd, Norwalk, CA 90650-2898 | 2006-06-22 |
| 1013568294 | Jonathan Juyun Kim | Dentist | 4925 Sw Griffith Dr, Beaverton, OR 97005-2923 | 2019-09-27 |
| 1801390109 | Jonathan Kim | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2018-03-21 |
| 1033643887 | Jonathan Kim | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2017-04-19 |
| 1093263444 | Jonathan Kim | Pharmacist | 3553 Whipple Rd, Union City, CA 94587-1507 | 2016-09-14 |
| Street Address |
3511 W OLYMPIC BLVD 204 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90019-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770536252 | Wiltoh Pharmacy | Pharmacy | 3511 W Olympic Blvd, 102, Los Angeles, CA 90019-3563 | 2006-05-18 |
| 1316136880 | Mike Kim Chiropractic, Corp | Chiropractor | 3511 W Olympic Blvd, Suite 202, Los Angeles, CA 90019-3563 | 2007-10-19 |
| 1316139223 | James M Jung | Internal Medicine | 3511 W Olympic Blvd, 101, Los Angeles, CA 90019-3563 | 2007-08-14 |
| 1679662357 | Wilton Pharmacy | Pharmacy | 3511 W Olympic Blvd, Ste 102, Los Angeles, CA 90019-3563 | 2006-10-12 |
| 1912920919 | James Jung | Internal Medicine | 3511 W Olympic Blvd, 101, Los Angeles, CA 90019 | 2006-07-25 |
| 1053346940 | Dong W Mun | Internal Medicine | 3511 W Olympic Blvd, Ste 101, Los Angeles, CA 90019-3563 | 2006-07-11 |
| 1154356921 | Jung Medical Center | Internal Medicine | 3511 W Olympic Blvd, #101, Los Angeles, CA 90019-3563 | 2006-07-11 |
| 1215968706 | Mike Kim | Chiropractor | 3511 W Olympic Blvd, 202, Los Angeles, CA 90019-3563 | 2006-07-05 |
| 1225076516 | Peter H Park | Specialist | 3511 W Olympic Blvd, 201, Los Angeles, CA 90019-3563 | 2006-06-02 |
| 1649223454 | Jung S Kim | Pharmacist | 3511 W Olympic Blvd, #102, Los Angeles, CA 90019-3563 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386299139 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1302 South La Brea, Los Angeles, CA 90019 | 2019-08-08 |
| 1104383694 | 310 Recovery Inc. | Clinic/Center | 1723 1/2 Hauser Blvd, Los Angeles, CA 90019 | 2019-02-21 |
| 1184131328 | Sehyeong Son | Acupuncturist | 1722 Crenshaw Blvd, Los Angeles, CA 90019 | 2018-01-09 |
| 1285158154 | Vanessa A. Myrie | Social Worker | 5562 Packard St., Los Angeles, CA 90019 | 2017-08-01 |
| 1093241309 | Hamburger Home | Community/Behavioral Health | 4066 W. 17th Street, Los Angeles, CA 90019 | 2017-05-05 |
| 1639614779 | Jung Ho Kang | Acupuncturist | 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 | 2016-12-28 |
| 1912353491 | Sung Won Lee | Acupuncturist | 4027 W. Pico Bl., Los Angeles, CA 90019 | 2016-05-13 |
| 1497188528 | Sfvcmhc | Community/Behavioral Health | 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 | 2013-08-13 |
| 1467890160 | Denise Breheny | Lactation Consultant, Non-RN | 1053 Carmona Ave., Los Angeles, CA 90019 | 2013-06-05 |
| 1336483122 | Nancy Denise - Latten Davidson | Student in an Organized Health Care Education/Training Program | 4073-75 West Pico Blvd, Los Angeles, CA 90019 | 2012-11-16 |
| Find all providers in zip 90019 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181646 | Astkhik Bagdasaryan | Chiropractor | 5250 Santa Monica Blvd Ste 303, Los Angeles, CA 90029-1255 | 2020-10-13 |
| 1205433661 | Henry Rivera | Chiropractor | 11075 Santa Monica Blvd Ste 175, Los Angeles, CA 90025-7567 | 2020-10-07 |
| 1801417563 | Sangwook Lee | Chiropractor | 680 S Berendo St Apt 529, Los Angeles, CA 90005-2087 | 2020-05-04 |
| 1760003149 | Danielle Christine Johnston | Chiropractor | 1280 S Barrington Ave Apt 14, Los Angeles, CA 90025-1642 | 2020-04-27 |
| 1942820980 | Peter Yi | Chiropractor | 919 S Soto St Ste 5, Los Angeles, CA 90023-1303 | 2020-04-20 |
| 1871122606 | Transformational Yoga, LLC | Chiropractor | 1649 Robertson Blvd, Los Angeles, CA 90035 | 2020-04-03 |
| 1114552254 | Alkemy Acupuncture & Integrative Medicine, Inc. | Chiropractor | 700 W 9th St Apt 2418, Los Angeles, CA 90015-4545 | 2020-03-09 |
| 1205469764 | Tom Chung Optimum Chiropractic, Inc | Chiropractor | 3727 W 6th St Ste 616, Los Angeles, CA 90020-5111 | 2020-02-12 |
| 1639715352 | Jack Li, D.c., A Chiropractic Corporation | Chiropractor | 12340 Santa Monica Blvd Ste 129, Los Angeles, CA 90025-2584 | 2019-11-18 |
| 1740837384 | Annie Somi Lee | Chiropractor | 1458 S San Pedro St # L19, Los Angeles, CA 90015-3144 | 2019-08-19 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90019 |
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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.