JOHN KIM, M.D.A PROFESSIONAL CORPORATION (NPI# 1780004010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780004010 |
| Entity Type | Organization |
| Organization Name | JOHN KIM, M.D.A PROFESSIONAL CORPORATION |
| Other Organization Name | ANGELES HEALTHCARE WC, LLC |
| Practice Address |
1433 W Merced Ave Suit #311 West Covina CA 91790-3402 |
| Mailing Address |
11911 Artesia Blvd Suit #101 Cerritos CA 90701-4065 |
| Practice Telephone | 6269603066 |
| Mailing Telephone | 5624027622 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |
| Authorized Official Name | MR. JOHN S. KIM (PRESIDENT) |
| Authorized Official Telephone | 5624027622 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G66684 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Angeles Healthcare WC, LLC | Doing Business As Name - Organization |
| Street Address |
1433 W MERCED AVE SUIT #311 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528054418 | Carlos Beharie Md | Obstetrics & Gynecology | 1433 W Merced Ave, #103, West Covina, CA 91790-3402 | 2005-09-26 |
| 1770065294 | Sarah Chunping Gao | Nurse Practitioner | 1433 W Merced Ave, West Covina, CA 91790-3402 | 2018-08-30 |
| 1720474257 | Nelly Parayno | Dentist | 1433 W Merced Ave, Suite 206, West Covina, CA 91790-3402 | 2015-04-10 |
| 1396151015 | Nelly A. Parayno, D.m.d., Inc. | Dentist | 1433 W Merced Ave, Suite 206, West Covina, CA 91790-3402 | 2014-07-02 |
| 1417370289 | Mayra Elizabeth Sohn | Nurse Practitioner | 1433 W Merced Ave, West Covina, CA 91790-3402 | 2014-01-29 |
| 1457608580 | Just 4 Kids Pediatrics, Inc | Pediatrics | 1433 W Merced Ave, Ste 103, West Covina, CA 91790 | 2012-08-08 |
| 1033472758 | Jui Lien Chen | Acupuncturist | 1433 W Merced Ave, Ste 309, West Covina, CA 91790-3402 | 2012-06-18 |
| 1548435092 | Ileana Reit | Nurse Practitioner | 1433 W Merced Ave, #103, West Covina, CA 91790-3402 | 2008-04-25 |
| 1639352446 | Harry E Confer Dpm A Professional Corp | Podiatrist | 1433 W Merced Ave, Suite 310, West Covina, CA 91790-3402 | 2007-12-14 |
| 1477753721 | Imelda Medina Jimenez | Nurse Practitioner | 1433 W Merced Ave, 103, West Covina, CA 91790-3402 | 2007-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427672385 | California Mobile Doctors Group Inc | Family Medicine | 1317 W West Covina Pkwy Ste B, West Covina, CA 91790-2800 | 2020-06-05 |
| 1447881024 | Steven Mitchell Villalobos | Family Medicine | 2645 E Charlinda St, West Covina, CA 91791-2901 | 2020-01-31 |
| 1184199275 | Mobile Physicians Medical Allied Group Inc | Family Medicine | 1317 W West Covina Pkwy Ste F, West Covina, CA 91790-2800 | 2018-10-04 |
| 1033573043 | Cynthia Chen-joea | Family Medicine | 1115 S. Sunset Ave, West Covina, CA 91790 | 2016-04-06 |
| 1518271964 | Huy Tu Nguyen | Family Medicine | 1500 W. West Covina Parkway, Suite 101, West Covina, CA 91790 | 2010-07-27 |
| 1659604023 | Allen A. Hassen | Family Medicine | 3121 E Hillside Dr, West Covina, CA 91791-3459 | 2009-09-16 |
| 1720214729 | Bernadette P Alejandrino | Family Medicine | 767 S Sunset Ave Ste 8, West Covina, CA 91790-3546 | 2009-06-04 |
| 1639233166 | Shine Medical Group Inc. | Family Medicine | 1901 W Badillo St, West Covina, CA 91790-1133 | 2006-12-20 |
| 1922160845 | Sisira Gunawardane Md Inc | Family Medicine | 333 N Sunset Ave, West Covina, CA 91790 | 2006-12-15 |
| 1619044435 | Marialuz Sevilla-herrera | Family Medicine | 1135 S Sunset Ave Ste 211, West Covina, CA 91790-3938 | 2006-11-29 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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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.