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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A91389 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 1558505321 | 05 | |
CA | 1902108293 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
1578106852 | David H Kim | Dentist | 2058 Kings Cross Ln, Cordova, TN 38016-5176 | 2019-10-19 |
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 |
Street Address |
19950 RINALDI ST, SUITE 310 |
City | PORT RANCH |
State | CA |
Zip Code | 91326 |
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 |
Find all providers in zip 91326 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
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 |
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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 |
Find all providers with the same taxonomy |
City | PORT RANCH |
Zip Code | 91326 |
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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.