KEUN-SUH KIM (NPI# 1669925285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669925285 |
| Entity Type | Individual |
| Full Name | KEUN-SUH KIM |
| Practice Address |
2141 Hill Ct Colton CA 92324-9512 |
| Practice Telephone | 9095014730 |
| Mailing Telephone | 9095014730 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A129431 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2141 HILL CT |
| City | COLTON |
| State | CA |
| Zip Code | 92324-9512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295248441 | Valco Consulting Firm | General Practice | 1111 Canyon View Ln, Colton, CA 92324-4713 | 2017-11-09 |
| 1205299617 | Wellness Diagnostics & Medispa, Inc | General Practice | 2751 Reche Canyon Rd, Spc 143, Colton, CA 92324-9570 | 2016-04-02 |
| 1417126764 | Juan Fernando Lizarraga | General Practice | 895 W. Valley Blvd., Colton, CA 92324-4809 | 2008-02-20 |
| 1801991450 | Colton Valley Medical Group | General Practice | 502 W Valley Blvd, Colton, CA 92324 | 2006-09-14 |
| 1831668292 | Lizarraga Medical Center Inc | General Practice | 895 W Valley Blvd, Colton, CA 92324-2001 | 2018-11-15 |
| 1154645398 | Jamsheed James Shamloo Md Inc | General Practice | 1023 S Mount Vernon Ave, Colton, CA 92324-4202 | 2010-03-17 |
| 1932341203 | Carlos Daniel Ramirez | General Practice | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2009-04-01 |
| 1922259001 | Lionel Holden Lee | General Practice | 400 N Pepper Ave, Colton, CA 92324-1801 | 2008-10-07 |
| 1346418969 | Ronald David Evans | General Practice | 502 W Valley Blvd, Colton, CA 92324-2249 | 2008-02-16 |
| 1730260126 | Harry Raymond Webb Jr. | General Practice | 502 W Valley Blvd, Colton, CA 92324-2249 | 2006-10-18 |
| Find all providers in COLTON | ||||
Please comment or provide details below to improve the information on KEUN-SUH KIM.
| 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.