MR. DAVID DAE-YOUNG KIM


Address: 19950 Rinaldi St, Suite 310, Port Ranch, CA 91326
Phone: 8182712500

MR. DAVID DAE-YOUNG KIM (NPI# 1558505321) 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) 1558505321
Entity Type Individual
Full Name MR. DAVID DAE-YOUNG KIM
Other Name DAE-YOUNG KIM
Credential M.D.
Practice Address 19950 Rinaldi St, Suite 310
Port Ranch
CA 91326
Mailing Address Po Box 11307
San Bernardino
CA 92423-1307
Practice Telephone 8182712500
Practice Fax Number 8182712501
Mailing Telephone 8187002336
Mailing Fax Number 8187002337
Enumeration Date 2009-04-24
Last Update Date 2020-09-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
A91389 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 1558505321 05
CA 1902108293 05

Other Providers DAVID KIM

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1225661036 David Dongkyung Kim Student in an Organized Health Care Education/Training Program 6 Whittier Place, Apartment 15b, Boston, MA 02114 2020-02-20
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1194378877 David S Kim Dentist 121 Tatham Rd, Bensalem, PA 19020-1641 2019-07-22
1790341691 David Kim Physician Assistant 993f Johnson Ferry Rd Ste 210, Atlanta, GA 30342-1602 2019-05-15
1316407539 David Kim Behavior Technician 6056 Delaware Park Ct, Eastvale, CA 92880-0984 2019-03-22
1104398593 David Solomon Kim Acupuncturist 3520 147th St Ph 1f, Flushing, NY 11354-3773 2018-12-22
1942738935 David Kim Social Worker 45 Douglass St # 3, Brooklyn, NY 11231-4716 2017-06-02
1841673936 David Hoyeon Kim Dentist 1234 Devonshire Ln, La Habra, CA 90631-7421 2015-07-07
1235517996 David Kim Surgery 3401 N Broad St # 3ppc388, Philadelphia, PA 19140 2015-05-14
1114318383 David Tae Hun Kim Dentist 736 Tangelo Way, Fullerton, CA 92832-2630 2015-02-10

Office Location

Street Address 19950 RINALDI ST, SUITE 310
City PORT RANCH
State CA
Zip Code 91326

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386172989 Carrie Jain Speech-Language Pathologist 20341 Livorno Way, Porter Ranch, CA 91326 2017-05-25
1932583143 Karyn L Delichte Student in an Organized Health Care Education/Training Program 20280 Sorrento Lane, Unit 203, Porter Ranch, CA 91326 2015-07-17
1104239995 Fadia Zaky Shehata Anesthesiology 19012 Vist Grande Wy, Porterranch, CA 91326 2014-06-09
1992058291 Beverly Hills Anesthesia Group, LLC Anesthesiology 11177 Tampa Ave, Suite B, Northridge, CA 91326 2012-10-24
1922386416 Estela Hauser Physician Assistant 19950 Rinaldi Street, Suite 100, Northridge, CA 91326 2011-08-01
1528351459 Alina Katsman Family Medicine 19950 Rinaldi St., Ste 300, Porter Ranch, CA 91326 2011-05-25
1073811899 Terry M. Mcelroy Inc. Nurse Anesthetist, Certified Registered 11931 Eddleston Dr., Northridge, CA 91326 2011-03-02
1265664304 Karine Yeghoyan Internal Medicine 11200 Corbin Street, 200, Porter Ranch, CA 91326 2009-08-21
1609003276 Pacific Pharmacy Group Pharmacy 19550 Rinaldi Street, Suite 102, Northridge, CA 91326 2009-06-22
1225222557 Desiree Eileen Miranda Vega Marriage & Family Therapist 11145 Tampa Ave Ste 15a, Northridge, CA 91326 2007-08-29
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

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1750999140 Kamalesh K Sankhala Md Inc Internal Medicine 127 S San Vicente Blvd Fl 7, Los Angeles, CA 90048-3311 2020-07-21
1396365144 Collin Vu Md, Inc. Internal Medicine 10438 Salinas River Cir, Fountain Valley, CA 92708-6841 2020-04-22
1720626757 Fenix Health Medical Oncology Group PC Internal Medicine 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007 2019-12-20
1871141598 Edward A, Wagner, M.d., Inc. Internal Medicine 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 2019-08-27
1255988341 Christopher Lemieux Internal Medicine 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 2019-08-22
1063972131 Titfany Wang Internal Medicine 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 2019-03-23
1649736687 Adventist Health Physicians Network Internal Medicine 95 Declaration Dr Ste 1, Chico, CA 95973-4916 2019-02-14
1518433762 Teamx Medical Group Internal Medicine 7253 N Cherry Ln, Van Nuys, CA 91405-5477 2018-10-15
1508352675 Oncology Physicians Network of California PC Internal Medicine 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 2018-07-02
1881184026 R.w. Weber, M.d., A Medical Corporation Internal Medicine 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 2018-05-14
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Competitor

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City PORT RANCH
Zip Code 91326

Improve Information

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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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