ANDREW JONGSOO KIM (NPI# 1699856237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699856237 |
| Entity Type | Individual |
| Full Name | ANDREW JONGSOO KIM |
| Credential | MD |
| Practice Address |
4650 W Sunset Blvd Los Angeles CA 90027-6062 |
| Mailing Address |
3701 Wilshire Blvd Suite 600 Los Angeles CA 90010-2814 |
| Practice Telephone | 3236692471 |
| Practice Fax Number | 3236667201 |
| Mailing Telephone | 3233613550 |
| Mailing Fax Number | 3233618052 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2016-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
A83129 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A629450 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386157816 | Andrew Taeho Kim | Physical Therapist | 2235 241st St Apt 6, Lomita, CA 90717-1062 | 2017-11-06 |
| 1033643895 | Andrew Kim | Dentist | 2001 Lincoln St, Denver, CO 80202-3802 | 2017-04-18 |
| 1477084804 | Andrew Gene Kim | Internal Medicine | 1959 Ne Pacific Street, Radiology Department Rr210, University of Washington, Seattle, WA 98195 | 2017-03-27 |
| 1578952263 | Andrew Kwanhee Kim | Pharmacist | 11520 Rockville Pike, Rockville, MD 20852-2750 | 2015-01-18 |
| 1093009110 | Andrew Kim | Internal Medicine | Camp Humphreys Msg Jenkins Clinic, Unit 15190, Box#12, Apo, AP 96271 | 2011-06-06 |
| 1083911846 | Andrew Kim | Dentist | 2722 W Grand Pkwy N # 200, Katy, TX 77449 | 2011-02-14 |
| 1952553380 | Andrew Heejoon Kim | Internal Medicine | 1414 S Grand Ave Ste 303, Los Angeles, CA 90015-3071 | 2008-10-16 |
| 1942480330 | Andrew H Kim | Dentist | 1655 E Thousand Oaks Blvd, Ste 204, Thousand Oaks, CA 91362-2800 | 2007-11-14 |
| 1851500490 | Andrew Chaehwan Kim | Acupuncturist | 16 W 32nd St Ste 902, New York, NY 10001-0907 | 2007-05-21 |
| 1629280649 | Andrew H Kim | Dentist | 1122 E. Lincoln Ave. #109, Orange, CA 92865-1908 | 2007-05-03 |
| Street Address |
4650 W SUNSET BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223926 | Fariba Navid | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2005-05-24 |
| 1811596810 | Samih Samaha | Social Worker | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-10-21 |
| 1437756988 | Amanda Ruth Mendelis | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-10-07 |
| 1124638119 | Hayden Mensah Mbroh | Rehabilitation Counselor | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-08-04 |
| 1619587854 | Allyssa Marie Asperin Cayago | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-08-03 |
| 1134739592 | Alison Coombs | Physical Therapist | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-07-31 |
| 1679190482 | Jearelly Pinedo | Registered Nurse | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-26 |
| 1124644901 | Corey Hacker | Nurse Practitioner | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-17 |
| 1720602667 | Bhavna Shah | Physical Therapist | 4650 W Sunset Blvd, Mailstop # 154, Los Angeles, CA 90027 | 2020-06-06 |
| 1023632528 | Bethany L Burdick | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811381882 | Sinifunanya Nwaobi | Psychiatry & Neurology | 100 Ucla Medical Plaza Suite 245, Los Angeles, CA 90095-7419 | 2015-03-26 |
| 1902123060 | Danilo Reyes Bernardo Jr. | Psychiatry & Neurology | 10833 Le Conte Ave Ste 22-474, Los Angeles, CA 90095-4221 | 2010-04-29 |
| 1790965903 | Mohsen M Hamza Md Inc | Psychiatry & Neurology | 11600 Wilshire Blvd Ste 420, Los Angeles, CA 90025-1785 | 2007-11-06 |
| 1245441831 | Eric D. Saslow | Psychiatry & Neurology | 100 Ucla Medical Plz Ste 214, Los Angeles, CA 90095-6997 | 2007-05-24 |
| 1154442655 | Nancy A Niparko | Psychiatry & Neurology | 8733 Beverly Boulevard, Suite 200, Los Angeles, CA 90048 | 2007-04-02 |
| 1285720292 | Tena La Dawn Rosser | Psychiatry & Neurology | 4650 Sunset Boulevard, M.s. #82, Los Angeles, CA 90027-6062 | 2006-10-05 |
| 1326011040 | Deborah Lee Holder | Psychiatry & Neurology | 4650 W Sunset Blvd # 82, Los Angeles, CA 90027-6062 | 2006-02-13 |
| 1972085694 | Madison Brooke Harris | Psychiatry & Neurology | 300 Ucla Medical Plz Ste 3300, Los Angeles, CA 90095-7004 | 2018-08-29 |
| 1629497565 | Andrew Ng | Psychiatry & Neurology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2014-04-08 |
| 1730520552 | Deepti Nagesh | Psychiatry & Neurology | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2013-07-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
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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.