DR. SOO GYUNG KIM (NPI# 1538479563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538479563 |
| Entity Type | Individual |
| Full Name | DR. SOO GYUNG KIM |
| Credential | L.AC., O.M.D. |
| Practice Address |
610 N Central Ave Suite 202 Glendale CA 91203-1403 |
| Practice Telephone | 8182446792 |
| Practice Fax Number | 8182447477 |
| Mailing Telephone | 8182446792 |
| Mailing Fax Number | 8182447477 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC9146 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811368376 | Soo Kim | Pharmacist | 757 Galaxy Heights Dr, La Canada Flintridge, CA 91011-1832 | 2015-10-09 |
| 1639511546 | Soo Kim | Dietitian, Registered | 1013 Ledgemont Dr, Plano, TX 75025-3510 | 2013-07-19 |
| 1932318219 | Soo H Kim | Optometrist | 25574 Dapper Ct, Chantilly, VA 20152-6318 | 2007-05-22 |
| 1619093739 | Soo Youn Kim | Optometrist | 14147 Pipeline Ave, Chino, CA 91710-5618 | 2007-03-21 |
| 1912064429 | Soo Yew Kim | Dentist | 1717 S Hoover St, Los Angeles, CA 90006-4958 | 2007-01-03 |
| 1851475958 | Soo R. Kim | Internal Medicine | 29 W Oneida St, Oswego, NY 13126 | 2006-10-25 |
| 1376578260 | Soo Bin Kim | Dentist | 14855 Blanco Rd Ste 413, San Antonio, TX 78216-7731 | 2006-07-11 |
| 1053870618 | Soo Kim | Technician | 8290 W Sahara Ave Ste 260, Las Vegas, NV 89117-8933 | 2019-03-13 |
| 1649736265 | Soo Jin Kim | Behavior Technician | 12443 Lewis St Ste 201, Garden Grove, CA 92840-4650 | 2019-02-19 |
| 1396271185 | Soo M Kim | Student in an Organized Health Care Education/Training Program | 1210 Sw 136th St, Burien, WA 98166-1214 | 2017-05-11 |
| Street Address |
610 N CENTRAL AVE SUITE 202 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91203-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740203777 | Vahe Stephan Yacoubian | Specialist | 610 N Central Ave, Suite 105, Glendale, CA 91203-1403 | 2006-07-25 |
| 1659628907 | Charlene Medina | Counselor | 610 N Central Ave, Suite 106, Glendale, CA 91203-1403 | 2012-08-06 |
| 1750640736 | Medstar Physical Therapy. Inc. | Preferred Provider Organization | 610 N Central Ave, Suite 202, Glendale, CA 91203-1403 | 2012-05-10 |
| 1407157878 | Samuel A Malayan Medical Corp | Family Medicine | 610 N Central Ave, Suite 301, Glendale, CA 91203-1403 | 2010-11-16 |
| 1720314271 | California Care Corp | Health Maintenance Organization | 610 N Central Ave, Glendale, CA 91203-1403 | 2009-10-19 |
| 1205070463 | Robin Stacy Long | Chiropractor | 610 N Central Ave, Suite 108, Glendale, CA 91203-1403 | 2009-04-30 |
| 1871743278 | California Care Corp | Preferred Provider Organization | 610 N Central Ave, Glendale, CA 91203-1403 | 2008-09-23 |
| 1467609917 | California Care Corporation | Exclusive Provider Organization | 610 N Central Ave, Suite 106, Glendale, CA 91203-1403 | 2008-08-26 |
| 1306001979 | Rodrik Khosrovian | Chiropractor | 610 N Central Ave, Suite 108, Glendale, CA 91203-1403 | 2008-07-23 |
| 1316110885 | California Care Inc | Exclusive Provider Organization | 610 N Central Ave, Glendale, CA 91203-1403 | 2008-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487115044 | Family & Friends Home Health Care Inc | Home Health | 417 W Arden St Suite 106a, Glendale, CA 91203 | 2019-03-27 |
| 1801354758 | Remedy Medical of California PC | Emergency Medicine | 138 N. Brand Blvd., Ste. 200, Unit 163, Glendale, CA 91203 | 2019-03-11 |
| 1609381730 | Envoy Hospice Care Inc | Hospice Care, Community Based | 5002 N Central Ave Ste 510, Glendale, CA 91203 | 2017-12-12 |
| 1093227712 | Goarik Susan Akopyan | Case Manager/Care Coordinator | 237 N Central Ave, Glendale, Ca 91203, Glendale, CA 91203 | 2017-11-03 |
| 1588190664 | Vanessa Guzman | Physician Assistant | 600 N. Central Ave, 322, Glendale, CA 91203 | 2017-05-10 |
| 1114465796 | Elizabeth Pedroza Estrada | Case Manager/Care Coordinator | 237 North Glendale, Glendale, CA 91203 | 2017-02-03 |
| 1477090934 | Blue Med-ride Medical Transportation | Non-emergency Medical Transport (VAN) | 121 W Lexington Dr # L200, Glendale, CA 91203 | 2017-01-23 |
| 1427593557 | Ofelia Oundjian | Counselor | 237 N Central Ave., Glendale, CA 91203 | 2016-12-28 |
| 1316396823 | Shaunak Jaiprakash Intwala | Pharmacist | 330 N Brand Blvd Ste 155, Glendale, CA 91203 | 2016-06-06 |
| 1295117315 | Luis Ernesto Garcia Artiga | Licensed Vocational Nurse | 500 N Central Ave Suite 250, Glendale, CA 91203 | 2015-06-25 |
| Find all providers in zip 91203 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109579 | Armineh Ghazarian | Acupuncturist | 501 E Harvard St Ste A, Glendale, CA 91205-1114 | 2020-09-17 |
| 1285246199 | Ssa Acu Endeavors LLC | Acupuncturist | 20022 N 67th Ave Ste A116, Glendale, AZ 85308-4619 | 2020-08-21 |
| 1700403979 | Brian M Nguyen | Acupuncturist | 429 1/2 W California Ave, Glendale, CA 91203-2199 | 2020-07-02 |
| 1063043875 | Alexandra Modell | Acupuncturist | 5225 N Ironwood Rd Ste 102, Glendale, WI 53217-4909 | 2020-01-30 |
| 1790249571 | Nare Melekyan | Acupuncturist | 116 N Artsakh St Ste 120, Glendale, CA 91206-4771 | 2019-01-25 |
| 1336637743 | Jillian Steele | Acupuncturist | 4340 E Kentucky Ave Ste 371, Glendale, CO 80246-2075 | 2018-05-01 |
| 1598276511 | Alin Minas Aslanian | Acupuncturist | 125 E Glenoaks Blvd Ste 105, Glendale, CA 91207-2133 | 2017-10-17 |
| 1710409131 | Lisa Weber | Acupuncturist | 1505 Wilson Ter Ste 250, Glendale, CA 91206-4075 | 2017-07-07 |
| 1467994632 | Benita Safaryans | Acupuncturist | 820 Graynold Ave, Glendale, CA 91202-2608 | 2016-11-04 |
| 1972955045 | Polet Markarian | Acupuncturist | 1150 Irving Ave, Apt 9, Glendale, CA 91201-1585 | 2016-07-12 |
| Find all providers in GLENDALE | ||||
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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.