SUNG JA KIM (NPI# 1518496892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518496892 |
Entity Type | Individual |
Full Name | SUNG JA KIM |
Practice Address |
1212 Pico Street San Fernando CA 91340 |
Mailing Address |
1212 Pico St San Fernando CA 91340-3503 |
Practice Telephone | (818) 627-4720 |
Practice Fax Number | 8186274758 |
Mailing Telephone | 8186274720 |
Mailing Fax Number | 8186274758 |
Enumeration Date | 2017-06-08 |
Last Update Date | 2017-06-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
319978 | CA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538652631 | Sung Chol Kim | Physician Assistant | 210th Fa Bde, Unit # 15564, Apo, AP 96224 | 2018-06-13 |
1316305352 | Sung Ho Kim | Dentist | 1001 Chesterfield Pkwy E Ste 202, Chesterfield, MO 63017-2167 | 2016-02-05 |
1235503632 | Sung Kim | Acupuncturist | 1609 W Portsmith Ln, Arlington Heights, IL 60004-7958 | 2015-11-23 |
1871896928 | Sung Soo Kim | Pharmacist | 2243 Eagle Glen Pkwy, Corona, CA 92883-0785 | 2010-12-13 |
1376858480 | Sung Yee Kim | Pharmacist | 255 S Hill St, 217, Los Angeles, CA 90012-3500 | 2010-08-12 |
1750522181 | Sung Joo Kim | Dentist | 7302 Waterloo Walk, Laurel, MD 20707-6914 | 2009-03-15 |
1124269741 | Sung Kim | Nurse Practitioner | 4401 Francis Lewis Blvd Ste 3a, Bayside, NY 11361-3002 | 2009-03-11 |
1417154659 | Sung Y Kim | Radiology | 24 Davonshire Dr, Pittsburgh, PA 15238-1530 | 2007-06-29 |
1023219045 | Sung H Kim | Dentist | 14936 Northern Blvd, #201, Flushing, NY 11354-3884 | 2007-05-29 |
1346460714 | Sung Ho Kim | Acupuncturist | 5269 Buford Hwy Ne Ste 15, Doraville, GA 30340-1100 | 2007-04-26 |
Street Address |
1212 PICO STREET |
City | SAN FERNANDO |
State | CA |
Zip Code | 91340 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720013105 | Dieu Thu Khoa Nguyen | Internal Medicine | 1212 Pico Street, San Fernando, CA 91340 | 2006-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043844301 | Atalla Dental Corp. | Clinic/Center | 557 N. Maclay Ave., San Fernando, CA 91340 | 2020-02-26 |
1235623190 | Kohan & Rodef Dental Corporation | Dentist | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, CA 91340 | 2018-06-14 |
1700388766 | North Valley Diagnostics Services, Inc. | Electrodiagnostic Medicine | 670 San Fernando Mission Blvd, #d, San Fernando, CA 91340 | 2018-03-06 |
1750889531 | Garfield Beach Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1204 San Fernando Rd, San Fernando, CA 91340 | 2018-01-26 |
1689118598 | Maira Yesenia Lopez | Counselor | 565 S. Brand Blvd, San Fernando, CA 91340 | 2016-12-12 |
1386042166 | Afsaneh Mazaheri-sichani | Dentist | 777 Turman St., Suite 107, San Fernando, CA 91340 | 2014-12-11 |
1396154167 | Lorena Tercero | Marriage & Family Therapist | 302 S. Brand Blvd, San Fernando, CA 91340 | 2014-08-06 |
1689082836 | Germine Aznavour | Pharmacist | 12920 Foothill Blvd, San Fernando, CA 91340 | 2014-07-31 |
1841605151 | Aswani Dental Corporation | Clinic/Center | 12940 Foothill Blvd Ste C, San Fernando, CA 91340 | 2014-06-25 |
1467705624 | Brenda Lira | Social Worker | 11565 Laurel Canyon Blvd., Suite 116, San Fernando, CA 91340 | 2012-10-24 |
Find all providers in zip 91340 |
Taxonomy Code | 163WP2201X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Ambulatory Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821643776 | Laura Tapia-tamayo | Registered Nurse | 1212 Pico St, San Fernando, CA 91340-3503 | 2019-08-07 |
1831629187 | Veronica Rodriguez | Registered Nurse | 1212 Pico St, San Fernando, CA 91340 | 2017-06-19 |
1285164590 | Meehee Ju | Registered Nurse | 1212 Pico St, San Fernando, CA 91340-3503 | 2017-06-19 |
1619407137 | Patricia Moreno | Registered Nurse | 1212 Pico St, San Fernando, CA 91340-3503 | 2017-06-18 |
1881123396 | Claire Acoba | Registered Nurse | 1212 Pico St, San Fernando, CA 91340-3503 | 2017-06-08 |
1447789151 | Dora Elva Crespo I | Registered Nurse | 1212 Pico St, San Fernando, CA 91340-3503 | 2017-06-06 |
1629507330 | Loresel Padilla Franco | Registered Nurse | 1212 Pico St, San Fernando, CA 91340-3503 | 2017-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013516558 | Angela Mauricio Torres | Registered Nurse | 9888 Carroll Centre Rd Ste 101, San Diego, CA 92126-4581 | 2020-10-24 |
1003445693 | Michelle Edwardson | Registered Nurse | 215 North Fresno Street, Suite 370, Fresno, CA 93701 | 2020-04-06 |
1386298529 | Anna Grigoryev | Registered Nurse | 20226 Lorne St, Winnetka, CA 91306-1887 | 2019-07-25 |
1063971448 | Guifang Shi | Registered Nurse | 1016 Contra Costa Dr, El Cerrito, CA 94530-2710 | 2019-03-15 |
1447717483 | Laura Rombach Rau | Registered Nurse | 6955 Foothill Blvd Ste 450, Oakland, CA 94605-2455 | 2019-02-26 |
1649764374 | Cristine Philina Ong | Registered Nurse | 2233 Huntington Dr Ste 12, San Marino, CA 91108 | 2018-06-16 |
1790276491 | Elizabeth Mercado Aquino | Registered Nurse | 7950 Caroline Ct, Dublin, CA 94568-1411 | 2018-05-29 |
1780191353 | Raynard Sterling | Registered Nurse | 2161 Van Wick St, Los Angeles, CA 90047-4644 | 2018-01-04 |
1346767076 | David A Alvarez | Registered Nurse | 1200n. State St., Los Angeles, CA 90033 | 2017-08-24 |
1346764230 | Roland Quero | Registered Nurse | 1000 W Carson St Rm 1m5, Torrance, CA 90502-2004 | 2017-08-01 |
Find all providers with the same taxonomy |
City | SAN FERNANDO |
Zip Code | 91340 |
Please comment or provide details below to improve the information on SUNG JA KIM.
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.