DR. PAUL DOHYUNG KIM (NPI# 1639336043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639336043 |
| Entity Type | Individual |
| Full Name | DR. PAUL DOHYUNG KIM |
| Credential | M.D. |
| Practice Address |
6719 Alvarado Road Suite 308 San Diego CA 92120 |
| Practice Telephone | 6192657912 |
| Practice Fax Number | 6192657922 |
| Mailing Telephone | 6192657912 |
| Mailing Fax Number | 6192657922 |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2012-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
A111653 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | A111653 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427529973 | Paul Kim | Registered Nurse | 17314 Vickie Ave, Cerritos, CA 90703-1354 | 2018-12-10 |
| 1538600119 | Paul Kim | Physical Therapy Assistant | 1378 Willow Oak Rd, Castle Rock, CO 80104-8566 | 2017-03-15 |
| 1619417490 | Paul Kim | Pharmacist | 765 Limekiln Pike Unit 26, Glenside, PA 19038-3930 | 2017-02-28 |
| 1568919686 | Paul Kim | Dentist | Hq, 618th Dental Company (as), Usa, Health Dental Activity-korea, Seoul, APO AP 96205-5652 | 2016-09-07 |
| 1467825786 | Paul J Kim | Dentist | Ucsf Department of Surgery 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2015-11-09 |
| 1336560234 | Paul Kim | Dentist | 809 N Houk Rd, Delaware, OH 43015-4418 | 2013-12-18 |
| 1841633138 | Paul Taehoon Kim | Student in an Organized Health Care Education/Training Program | 231 Albert Sabin Way Ml 0558, Univ of Cincinnati Medical Center Department of Surgery, Cincinnati, OH 45267-0588 | 2013-04-17 |
| 1174806525 | Paul Joon Kim | Dentist | 514 Fulton Ave, Hempstead, NY 11550-4364 | 2011-09-22 |
| 1275822777 | Paul Moonwhan Kim | Psychiatry & Neurology | Meyer 1-104, 600 N. Wolfe St., Baltimore, MD 21287-0001 | 2011-04-05 |
| 1477885960 | Paul Kim | Dentist | 6090 Redwood Blvd, Suite D, Novato, CA 94945-4569 | 2010-02-08 |
| Street Address |
6719 ALVARADO ROAD SUITE 308 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144380825 | Ross Medical Group Inc | Dermatology | 6719 Alvarado Road, Suite 207, San Diego, CA 92120-5252 | 2006-12-11 |
| 1184752230 | Linda Beth Ross | Dermatology | 6719 Alvarado Road, Suite 207, San Diego, CA 92120-5252 | 2007-03-01 |
| 1841356664 | Kamshad Raiszadeh | Orthopaedic Surgery | 6719 Alvarado Road, Suite 308, San Diego, CA 92120 | 2006-12-28 |
| 1518021369 | Ramin Raiszadeh | Orthopaedic Surgery | 6719 Alvarado Road, Suite 308, San Diego, CA 92120 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730508979 | Abhiram Gande | Orthopaedic Surgery | 7485 Mission Valley Rd Ste 104a, San Diego, CA 92108-4422 | 2014-04-15 |
| 1659713725 | Nicole Claudette Record | Orthopaedic Surgery | 6190 Cornerstone Ct E Ste 212, San Diego, CA 92121-4701 | 2013-07-18 |
| 1073677811 | La Jolla Spine Institute Medical Group, Inc. | Orthopaedic Surgery | 6719 Alvarado Rd., Suite 308, San Diego, CA 92120 | 2006-12-19 |
| 1245281856 | Jean-jacques Abitbol | Orthopaedic Surgery | 7625 Mesa College Dr Ste 310a, San Diego, CA 92111-5343 | 2006-05-16 |
| 1962018044 | Excel Spine Center | Orthopaedic Surgery | 6719 Alvarado Rd Ste 308, San Diego, CA 92120-5268 | 2020-09-23 |
| 1114306347 | Preetpaul Singh Bagi | Orthopaedic Surgery | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2015-05-20 |
| 1629456553 | John D Attenello | Orthopaedic Surgery | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2015-05-12 |
| 1972923704 | Jacob H Fennessy | Orthopaedic Surgery | 200 W Arbor Dr, San Diego, CA 92103 | 2014-04-20 |
| 1285952655 | Oliver O Tannous | Orthopaedic Surgery | 350 Dickinson St, Suite 121, Mc 8894, San Diego, CA 92103-1913 | 2010-05-11 |
| 1760632947 | Ali Bagheri | Orthopaedic Surgery | 9333 Genesee Ave Ste 350, San Diego, CA 92121-2103 | 2008-09-24 |
| Find all providers in SAN DIEGO | ||||
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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.