JUNGWON KIM (NPI# 1649609447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649609447 |
| Entity Type | Individual |
| Full Name | JUNGWON KIM |
| Practice Address |
1200 W Lambert Rd Unit 25 La Habra CA 90631-6624 |
| Practice Telephone | 7148726124 |
| Practice Fax Number | 7145628729 |
| Mailing Telephone | 7148726124 |
| Mailing Fax Number | 7145628729 |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IMF71435 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVER'S LICENSE | F1409566 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205471919 | Jungwon Kim | Registered Nurse | 116 W 32nd St Fl 8, New York, NY 10001-3212 | 2019-11-18 |
| 1528378700 | Jungwon Kim | Dentist | 16810 Meridian E, Puyallup, WA 98375-9604 | 2010-10-20 |
| Street Address |
1200 W LAMBERT RD UNIT 25 |
| City | LA HABRA |
| State | CA |
| Zip Code | 90631-6624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163323 | Knowledge of Autism & Other Developmental Disabilities, LLC. | Assistant Behavior Analyst | 890 Whitebook Drive, La Habra, CA 90631 | 2020-01-15 |
| 1215572417 | Anthony Alonzo Favot | Physician Assistant | 2500 Sidon Ave., La Habra, CA 90631 | 2019-11-12 |
| 1487123618 | Adrian Acosta Dds A Prof Dental Corp | Dentist | 901 W. Whittier Blvd, La Habra, CA 90631 | 2018-11-16 |
| 1669961587 | La Habra Villa, LLC | Assisted Living Facility | 1100 E.whittier Blvd, La Habra, CA 90631 | 2018-05-07 |
| 1679089767 | Alicia Igarta | Behavioral Analyst | 890 Whitebook Dr, La Habra, CA 90631 | 2017-12-27 |
| 1609386564 | Antoinette Marie Burgonio | Counselor | 820 Buena Vista Ave, La Habra, CA 90631 | 2017-10-05 |
| 1023527710 | Sharon Rose Stines | Counselor | 271 W. Imperial Hwy, Suite C, La Habra, CA 90631 | 2017-09-25 |
| 1275050999 | Ivan Andro Simunovic | Physician Assistant | 1341 Brookdale Ave., La Habra, CA 90631 | 2017-08-23 |
| 1730609645 | Lorraine Danielle Granado | Specialist/Technologist | 2301 Las Palomas Dr, La Habra Heights, CA 90631 | 2017-06-21 |
| 1649717844 | Marzieh Simonton | Nurse Practitioner | 921 Donnybrook Ave, La Habra, CA 90631 | 2017-01-25 |
| Find all providers in zip 90631 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326598004 | Ana Rosa Balarezo | Marriage & Family Therapist | 300 S Beach Blvd Ste I, La Habra, CA 90631-5141 | 2016-10-06 |
| 1366826950 | Natalie Gowern | Marriage & Family Therapist | 601 E Imperial Hwy, La Habra, CA 90631-7463 | 2015-07-14 |
| 1184022147 | Crystal Sanchez | Marriage & Family Therapist | 201 S. Harbor Blvd, La Habra, CA 90631 | 2014-12-08 |
| 1093929341 | Diane Sara Vargas | Marriage & Family Therapist | 2312 W Whittier Blvd, La Habra, CA 90631-3405 | 2007-05-09 |
| 1437293008 | Young-hwa Kang | Marriage & Family Therapist | 1901 E Lambert Rd Ste 203p, La Habra, CA 90631-0504 | 2007-02-16 |
| 1780763201 | Leroy Fitzgearld Thompson | Marriage & Family Therapist | 341 Hillcrest St, La Habra, CA 90631-5340 | 2006-11-03 |
| 1497849327 | Colleen Hilton | Marriage & Family Therapist | 300 Latchwood Ln, La Habra, CA 90631-7641 | 2006-10-03 |
| 1699791012 | Victoria A. Hanley | Marriage & Family Therapist | 361 E Whittier Blvd, Suite C, La Habra, CA 90631-3842 | 2006-07-15 |
| 1750363024 | Sandra Marie Lehner | Marriage & Family Therapist | 861 N Cypress St, Suite 15, La Habra, CA 90631-3075 | 2005-11-14 |
| 1326573114 | Desiree Lopez | Marriage & Family Therapist | 400 E La Habra Blvd, La Habra, CA 90631-5525 | 2017-04-28 |
| Find all providers in LA HABRA | ||||
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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.