DR. KEI CHUNG KIM (NPI# 1780903963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780903963 |
| Entity Type | Individual |
| Full Name | DR. KEI CHUNG KIM |
| Credential | OMD |
| Practice Address |
11130 Magnolia Ave Ste B Riverside CA 92505-3675 |
| Practice Telephone | 9517851133 |
| Mailing Telephone | 9517851133 |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC671 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922308105 | Kei Young Kim | Dentist | 1009 N Isabel St, Glendale, CA 91207-1724 | 2010-10-22 |
| Street Address |
11130 MAGNOLIA AVE STE B |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92505-3675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003435991 | Jacqueline Rangel | Massage Therapist | 11130 Magnolia Ave Ste B, Riverside, CA 92505-3675 | 2020-04-10 |
| 1174047229 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 11130 Magnolia Ave Ste B, Riverside, CA 92505-3675 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
| 1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
| 1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
| 1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
| 1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
| 1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
| 1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
| 1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
| 1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
| 1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
| Find all providers in zip 92505 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144793134 | Jaedeok Kim | Acupuncturist | 3858 Chicago Ave, Riverside, CA 92507-5354 | 2019-01-02 |
| 1023494259 | Michael Van | Acupuncturist | 16550 Catalonia Dr, Riverside, CA 92504-8701 | 2015-08-11 |
| 1548641160 | Eunkyung Park | Acupuncturist | 6927 Brockton Ave Ste 2c, Riverside, CA 92506-3807 | 2015-06-10 |
| 1306289848 | Katherine Eunja Cheon | Acupuncturist | 3975 Jackson St Ste 209, Riverside, CA 92503-3949 | 2013-04-15 |
| 1750632055 | Young Ki Kim | Acupuncturist | 5432 Arlington Ave, Riverside, CA 92504-2505 | 2012-09-26 |
| 1659607554 | Ana Maria Calla De Coste | Acupuncturist | 28 Winslow St, Riverside, RI 02915-1726 | 2009-10-27 |
| 1194969451 | Sang Han | Acupuncturist | 3761 Van Buren Blvd Ste E, Riverside, CA 92503-4266 | 2009-04-29 |
| 1467606640 | Joo-seok Oh | Acupuncturist | 6717 Indiana Ave, Riverside, CA 92506-4263 | 2008-11-14 |
| 1326211269 | Leslie Chen | Acupuncturist | 9140 Village Way, Riverside, CA 92508-6278 | 2008-04-11 |
| 1699952028 | Suk Young Shin | Acupuncturist | 1485 Spruce St Ste P, Riverside, CA 92507-7421 | 2008-01-28 |
| Find all providers in RIVERSIDE | ||||
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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.