CHUNG W. KIM,M.D. (NPI# 1669694279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669694279 |
| Entity Type | Organization |
| Organization Name | CHUNG W. KIM,M.D. |
| Practice Address |
4082 Whittier Blvd Ste 102 Los Angeles CA 90023-2558 |
| Practice Telephone | 3232612111 |
| Mailing Telephone | 3232612111 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHUNG W KIM (M.D.) |
| Authorized Official Telephone | 3232612111 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A034623 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A346232 | 05 |
| Street Address |
4082 WHITTIER BLVD STE 102 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90023-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063591584 | Indiana First Medical Group | Family Medicine | 4082 Whittier Blvd, Los Angeles, CA 90023-2558 | 2006-11-03 |
| 1700189313 | Mi Young Chang | Acupuncturist | 4082 Whittier Blvd, Suite #105, Los Angeles, CA 90023-2558 | 2010-12-21 |
| 1922311299 | Abilio A. Hernandez, M.d.,inc. | Psychiatry & Neurology | 4082 Whittier Blvd, Ste. 104, Los Angeles, CA 90023-2558 | 2010-07-15 |
| 1801938592 | Town Center Medical Group | Clinic/Center | 4082 Whittier Blvd, Suite 102, Los Angeles, CA 90023-2558 | 2007-02-12 |
| 1831231521 | Mark E Choi | Obstetrics & Gynecology | 4082 Whittier Blvd, Los Angeles, CA 90023-2558 | 2007-02-12 |
| 1144382870 | Hector Birman | Family Medicine | 4082 Whittier Blvd, Suite 101, Los Angeles, CA 90023-2558 | 2006-12-16 |
| 1841363793 | Chung W Kim | Pediatrics | 4082 Whittier Blvd, #102, Los Angeles, CA 90023-2558 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470384 | Chan Family Medical Corp | General Practice | 4070 E. Olympic Blvd, Los Angeles, CA 90023 | 2019-07-26 |
| 1275059511 | Jeff Moreno | Psychoanalyst | 550 Vermount Ave, Los Angeles, CA 90023 | 2017-08-18 |
| 1457714297 | Isabel Garcia | Counselor | 4543 Sabina Street, Los Angeles, CA 90023 | 2016-03-30 |
| 1275950115 | Daniel Lemor | Ophthalmology | 4036 Whittier Blvd Ste 202, Los Angeles, CA 90023 | 2014-03-27 |
| 1073951992 | Behavioral Health Services, Inc. | Community/Behavioral Health | 2515 Whittier Blvd., Los Angeles, CA 90023 | 2013-06-13 |
| 1003115312 | H.r.imankhan,dds,inc | Dentist | 3356 E. Olympic Blvd, Los Angeles, CA 90023 | 2011-03-25 |
| 1508006297 | Ricca Tinnin | Physician Assistant | 1200 N State St., Dept E.r., La, CA 90023 | 2009-02-20 |
| 1538366851 | Sun Heung Lui | Counselor | 3421 E. Olympic Blvd., Los Angeles, CA 90023 | 2007-06-29 |
| 1851519623 | Atlantic Recovery Services | Community/Behavioral Health | 3225 Flunter St, Estrada Courts Sea, Los Angeles, CA 90023 | 2007-04-24 |
| 1548486947 | Manasseh C Nwaigwe | General Practice | 1159 S. Lorena St, Los Angeles, CA 90023 | 2007-04-17 |
| Find all providers in zip 90023 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710445283 | West Tower Pediatrics | Pediatrics | 8635 W 3rd St Ste 260w, Los Angeles, CA 90048-6113 | 2019-03-04 |
| 1609368471 | Children's Health Alliance of Medical Providers, Inc. | Pediatrics | 4601 W Sunset Blvd, Los Angeles, CA 90027-6020 | 2018-06-06 |
| 1245771674 | Anna Cushing | Pediatrics | 4650 W Sunset Blvd Ms# 113, Los Angeles, CA 90027-6062 | 2017-03-18 |
| 1528501822 | Harmanpreet Chawla | Pediatrics | 444 S Kingsley Dr, Apt 149, Los Angeles, CA 90020-3267 | 2016-11-18 |
| 1104276229 | Stephanie Mai Lan Be | Pediatrics | 8731 W Pico Blvd, Los Angeles, CA 90035-2205 | 2016-06-20 |
| 1063869196 | John Banks Harlow | Pediatrics | 807 Hyperion Ave, Apt 7, Los Angeles, CA 90029-3157 | 2016-05-18 |
| 1679935811 | Patricia F. Villegas | Pediatrics | 2010 Zonal Ave Fl Opd5, Los Angeles, CA 90033 | 2016-03-27 |
| 1457710808 | Barry Charles Smith | Pediatrics | 10637 Wilkins Ave, Unit 2, Los Angeles, CA 90024-5870 | 2016-02-14 |
| 1275911364 | Eric Tsay | Pediatrics | 10833 Le Conte Ave # 22-315, Los Angeles, CA 90095-3075 | 2015-05-11 |
| 1609253566 | Sinai Pediatrics | Pediatrics | 151 S Almont Dr, Los Angeles, CA 90048-2910 | 2015-04-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90023 |
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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.