CHAN S KIM (NPI# 1679513550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679513550 |
| Entity Type | Individual |
| Full Name | CHAN S KIM |
| Credential | MD |
| Practice Address |
12100 Euclid St Garden Grove CA 92840-3304 |
| Practice Telephone | 8889882800 |
| Practice Fax Number | 7147413660 |
| Mailing Telephone | 8889882800 |
| Mailing Fax Number | 7147413660 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2010-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A71667 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447530647 | Chan Woo Kim | Pharmacist | 1 Gussack Plaza Center, Great Neck, NY 11021 | 2011-08-19 |
| 1184781619 | Chan Hyun Kim | Acupuncturist | 650 E Thousand Oaks Blvd, Thousand Oaks, CA 61360-6009 | 2007-01-03 |
| 1518233493 | Chan Kim | Licensed Vocational Nurse | 1328 2nd St, Santa Monica, CA 90401-1122 | 2012-03-26 |
| 1972804037 | Chan Bae Kim | Dentist | 5815 Melton Dr, Oklahoma City, OK 73132-4934 | 2010-11-05 |
| 1558575407 | Chan Ho Kim | Acupuncturist | 555 W Redondo Beach Blvd, Gardena, CA 90248-1612 | 2007-05-10 |
| 1336221969 | Chan H Kim | Psychiatry & Neurology | 14350 Whittier Blvd, Suite #320, Whittier, CA 90605-2138 | 2006-10-20 |
| Street Address |
12100 EUCLID ST |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235120734 | Nancy Lee-hata | Family Medicine | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2005-11-02 |
| 1275170458 | Thuy Trang Thi Khong | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2019-12-05 |
| 1750818399 | Anam Meraj | Pediatrics | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-05-14 |
| 1508390766 | Kathleen Tzan | Pediatrics | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-04-14 |
| 1124567888 | Michelle Suh | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-14 |
| 1649719444 | Kathleen Han Tran | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-14 |
| 1154860070 | Christine Atalla | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-13 |
| 1992244750 | Josefina Guzman-inouye | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-13 |
| 1467991216 | Phuong Nguyen | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-13 |
| 1679011571 | Tuan Ngoc Cao | Pharmacist | 12100 Euclid St, Garden Grove, CA 92840-3304 | 2017-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164841482 | Aaron Cho | Emergency Medicine | 9902 Royal Palm Blvd, Garden Grove, CA 92841-1755 | 2014-04-15 |
| 1154610939 | Viet Quoc Tran | Emergency Medicine | 11911 Magnolia St, Garden Grove, CA 92841-2403 | 2011-04-01 |
| 1922240423 | David Ngo | Emergency Medicine | 12311 Janet St, Garden Grove, CA 92840-3823 | 2009-03-30 |
| 1346290772 | Brian Seunghun Rhee | Emergency Medicine | 12601 Garden Grove Boulevard, Garden Grove, CA 92843 | 2006-05-10 |
| 1174752836 | Kim-tan Nguyen | Emergency Medicine | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2009-07-02 |
| 1326183344 | Eric Anthony Quimbo | Emergency Medicine | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2007-02-20 |
| 1831204262 | Carl B Stilson Jr. | Emergency Medicine | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2006-08-19 |
| 1528173952 | Gary Strachan | Emergency Medicine | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2006-08-19 |
| 1053424044 | Dan Nadler | Emergency Medicine | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2006-08-16 |
| 1477577575 | Alec Tuan Huynh | Emergency Medicine | 12601 Garden Grove Blvd, Garden Grove, CA 92843-1908 | 2006-07-26 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
Please comment or provide details below to improve the information on CHAN S 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.