SOO YOUN KIM (NPI# 1619093739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619093739 |
| Entity Type | Individual |
| Full Name | SOO YOUN KIM |
| Credential | O.D. |
| Practice Address |
14147 Pipeline Ave Chino CA 91710-5618 |
| Practice Telephone | 9096280300 |
| Practice Fax Number | 9095483302 |
| Mailing Telephone | 9096280300 |
| Mailing Fax Number | 9095483302 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 10349T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GSD001560 | 05 |
| 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 |
| 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 |
| 1073960530 | Soo K Kim | Acupuncturist | 385 Sylvan Ave, Suite 10, Englewood Cliffs, NJ 07632-2726 | 2016-05-15 |
| Street Address |
14147 PIPELINE AVE |
| City | CHINO |
| State | CA |
| Zip Code | 91710-5618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679962179 | Joanne J. Kim Od Inc | Optometrist | 14147 Pipeline Ave, Chino, CA 91710-5618 | 2015-01-21 |
| 1053594846 | Soo Youn Kim Od Inc | Eyewear Supplier (Equipment, not the service) | 14147 Pipeline Ave, Chino, CA 91710-5618 | 2007-12-14 |
| 1336336239 | Joanne Ji Yun Kim | Optometrist | 14147 Pipeline Ave, Chino, CA 91710-5618 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1932577426 | Jannette Hang | Optometrist | 13197 Central Ave Ste 101, Chino, CA 91710-4178 | 2015-09-14 |
| 1023152766 | Howard Hai Tuan Nguyen | Optometrist | 12345 Mountain Ave Ste X, Chino, CA 91710-2783 | 2007-02-16 |
| 1205978848 | Lawrence Morris | Optometrist | 11640 Central Ave, Chino, CA 91710-1923 | 2007-02-12 |
| 1669523734 | Shameem Banu Khan | Optometrist | 13768 Roswell Ave Ste 208, Chino, CA 91710-1405 | 2007-01-16 |
| 1770648743 | Vance T Nguyen | Optometrist | 3920 Grand Ave Ste D, Chino, CA 91710-5484 | 2006-12-27 |
| 1174696652 | Jana F Chen | Optometrist | 4143 Riverside Dr, Ste C, Chino, CA 91710-3126 | 2006-11-15 |
| 1881779098 | Chino Family Optometry Inc | Optometrist | 13788 Roswell Ave, #106, Chino, CA 91710-1400 | 2006-10-26 |
| 1558444695 | Quynh N. Tran | Optometrist | 5513 Philadelphia St Ste A, Chino, CA 91710-7534 | 2006-10-23 |
| 1851404628 | Kerry Scot Anderson | Optometrist | 14335 Pipeline Ave, Chino, CA 91710-5642 | 2006-08-16 |
| Find all providers in CHINO | ||||
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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.