SUNG JA KIM


Address: 1212 Pico Street, San Fernando, CA 91340
Phone: (818) 627-4720

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP2201X Registered Nurse
Specialization: Ambulatory Care
319978 CA Nursing Service Providers

Other Providers SUNG KIM

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

Office Location

Street Address 1212 PICO STREET
City SAN FERNANDO
State CA
Zip Code 91340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720013105 Dieu Thu Khoa Nguyen Internal Medicine 1212 Pico Street, San Fernando, CA 91340 2006-07-12

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WP2201X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Ambulatory Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SAN FERNANDO
Zip Code 91340

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Dataset Information

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.

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