DAE YONG KIM (NPI# 1679094981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679094981 |
| Entity Type | Individual |
| Full Name | DAE YONG KIM |
| Credential | MD |
| Practice Address |
50249 Cesar Chavez St Ste K Coachella CA 92236-1530 |
| Mailing Address |
42222 Rancho Las Palmas Dr Unit 1645 Rancho Mirage CA 92270-4294 |
| Practice Telephone | 7603930555 |
| Mailing Telephone | 7603930555 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2020-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 169506 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 760 Broadway, Woodhull Hospital, Dept of Medicine, Brooklyn, NY 11206 | (718) 963-5807 | 7189638753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609050400 | Dae Yong Kim | Acupuncturist | 412 W Whittier Blvd, La Habra, CA 90631-3736 | 2007-12-28 |
| Street Address |
50249 CESAR CHAVEZ ST STE K |
| City | COACHELLA |
| State | CA |
| Zip Code | 92236-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932381605 | Clinicas De Salud Del Pueblo, Inc | Clinic/Center | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2007-12-04 |
| 1568995371 | Catherine Maria Solares Carroll | Pediatrics | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2017-04-07 |
| 1861923492 | Gladys Valdez Rivera | Family Medicine | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2017-03-24 |
| 1831638022 | Michelle Brady | Counselor | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2017-02-21 |
| 1205266947 | Saifuddin Talib | Registered Nurse | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2013-11-15 |
| 1902112782 | Richard John Eppey II | Obstetrics & Gynecology | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2010-08-31 |
| 1538305883 | Jenny Mae Wheeler | Family Medicine | 50249 Cesar Chavez St Ste K, Coachella, CA 92236-1530 | 2008-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518915 | Phong Phan | Pharmacist | 84 010 Avenue 50, Coachella, CA 92236 | 2020-01-28 |
| 1518511500 | Sally Mireles | Counselor | 84109 La Jolla, Coachella, CA 92236 | 2019-07-29 |
| 1174185318 | Laura Castillo-dominguez | Licensed Vocational Nurse | 83113 Los Cabos Ave, Coachella, CA 92236 | 2019-07-08 |
| 1003390519 | Jennifer Le | Registered Nurse | 49-111 Ca-111 #6a, Coachella, CA 92236 | 2018-09-20 |
| 1700302502 | Latino Commission On Alcohol and Drug Abuse Services | Marriage & Family Therapist | 1612 First St., Coachella, CA 92236 | 2017-08-14 |
| 1467993279 | Jose Ramon Ledezma | Prosthetic/Orthotic Supplier | 84475 Goya Dr, Coachella, CA 92236 | 2017-03-13 |
| 1144622432 | Telecare Corporation | Psychiatric Unit | 49-708 Redondo Poniente, Coachella, CA 92236 | 2014-09-18 |
| 1851708762 | Juanita Ferro | Psychiatric Unit | 52371 Dos Palmas, Coachella, CA 92236 | 2014-07-14 |
| 1932519964 | Gloria Graham | Family Medicine | 50249 Harrison St, Coachella, CA 92236 | 2014-04-29 |
| 1326489121 | Alma Elizabeth Guadarrama Hernandez | Social Worker | 49211 Grapefruit Blvd Ste 5&6, Coachella, CA 92236 | 2013-07-10 |
| Find all providers in zip 92236 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225872 | Prime Medicine Partners Inc | Internal Medicine | 7647 N Fresno St, Fresno, CA 93720-2578 | 2020-11-08 |
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| 1538768064 | Express Carenow, Inc | Internal Medicine | 4100 Central Ave Ste 101, Riverside, CA 92506-2930 | 2020-10-26 |
| 1861091795 | Sequoia Radiation Oncology Servics, Inc | Internal Medicine | 4945 W Cypress Ave Ste A, Visalia, CA 93277-1592 | 2020-10-21 |
| 1639778673 | Deepak Mehta | Internal Medicine | C/o Medical Staff Office, Cmf, Vacaville, CA 95696 | 2020-10-21 |
| 1053919332 | Kingsley Clinic of California, PC | Internal Medicine | 275 E Hillcrest Dr Ste 160, Thousand Oaks, CA 91360-7772 | 2020-10-09 |
| 1144836826 | Dr. Stephanie Mcclellen, Md PC | Internal Medicine | 900 Hyde St Fl 4, San Francisco, CA 94109-4806 | 2020-09-18 |
| 1346856358 | Kahala Biosciences Inc | Internal Medicine | 3 Whatney Ste 200, Irvine, CA 92618-2826 | 2020-09-16 |
| 1063027050 | Vinay Panchal Md Inc | Internal Medicine | Colusa Medical Center, 199 E Webster St, Colusa, CA 95932-2954 | 2020-09-15 |
| 1962017269 | One Primary Care Inc. | Internal Medicine | 800 S Central Ave Ste 212, Glendale, CA 91204-4388 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
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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.