AMANDA YJ KIM (NPI# 1790309243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790309243 |
| Entity Type | Individual |
| Full Name | AMANDA YJ KIM |
| Practice Address |
714 Tiverton Ave Los Angeles CA 90095-8361 |
| Mailing Address |
1030 Tiverton Ave Apt 108 Los Angeles CA 90024-3001 |
| Practice Telephone | 4085294423 |
| Mailing Telephone | 4085294423 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669956330 | Amanda Kristen Kim | Speech-Language Pathologist | 3570 Executive Dr Ste 208, Uniontown, OH 44685-8712 | 2018-09-19 |
| 1386903193 | Amanda Kim | Psychologist | 530 Washington Blvd Apt 3e, Oak Park, IL 60302-4063 | 2012-05-14 |
| 1275161713 | Amanda Kim | Psychiatry & Neurology | 75 Francis St, Boston, MA 02115-6106 | 2020-03-30 |
| 1336702919 | Amanda Kim | Acupuncturist | 5 Park Dr, Burlington, MA 01803-1021 | 2019-04-18 |
| 1750898623 | Amanda Kim | Behavioral Analyst | 268 Bush St Ste 3039, San Francisco, CA 94104-3503 | 2018-01-02 |
| 1093251605 | Amanda Kim | Assistant Behavior Analyst | 6330 Variel Ave, Suite 102, Woodland Hills, CA 91367-2543 | 2017-01-06 |
| 1689050809 | Amanda Kim | Counselor | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2015-08-11 |
| 1992192579 | Amanda Jane Wong Kim | Family Medicine | 3915 Talbot Rd S Ste 401, Renton, WA 98055-5738 | 2015-04-21 |
| 1043470057 | Amanda Kim | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2008-06-12 |
| Street Address |
714 TIVERTON AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-8361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124581426 | Brian David Lunt | Student in an Organized Health Care Education/Training Program | 714 Tiverton Ave, Los Angeles, CA 90095-8361 | 2019-04-12 |
| 1649879883 | Michelle Jang | Student in an Organized Health Care Education/Training Program | 714 Tiverton Ave, Los Angeles, CA 90095-8361 | 2020-10-20 |
| 1558986570 | Joseph Bui | Student in an Organized Health Care Education/Training Program | 714 Tiverton Ave, Los Angeles, CA 90095-8361 | 2020-06-16 |
| 1750906624 | Andrew Lin | Student in an Organized Health Care Education/Training Program | 714 Tiverton Ave, Los Angeles, CA 90095-8361 | 2020-06-16 |
| 1326663584 | David Liu | Dentist | 714 Tiverton Ave, Los Angeles, CA 90095-8361 | 2020-06-13 |
| 1073138269 | Austin Williams | Dentist | 714 Tiverton Ave, Los Angeles, CA 90095-8361 | 2020-06-12 |
| 1730704313 | Shelley Pu | Student in an Organized Health Care Education/Training Program | 714 Tiverton Ave, Los Angeles, CA 90095-8361 | 2020-06-10 |
| 1851916498 | Brian C Chiusano | Student in an Organized Health Care Education/Training Program | 714 Tiverton Ave, Los Angeles, CA 90095-8361 | 2020-06-09 |
| 1134743560 | Lauren Ann Lill | Dentist | 714 Tiverton Ave, Los Angeles, CA 90095-8361 | 2020-06-01 |
| 1740804335 | Carla Ellen Castro | Student in an Organized Health Care Education/Training Program | 714 Tiverton Ave, Los Angeles, CA 90095-8361 | 2020-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| 1750989588 | Jasmine Carpenter | Student in an Organized Health Care Education/Training Program | 4920 S Avalon Blvd, Los Angeles, CA 90011-4004 | 2020-10-14 |
| 1801401062 | Rachel Brenner | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave Apt 2, Los Angeles, CA 90007-4203 | 2020-09-14 |
| 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 |
| 1154936565 | Samrah Shaheer Abbasi | Student in an Organized Health Care Education/Training Program | 3022 Oakhurst Ave, Los Angeles, CA 90034-2856 | 2020-09-11 |
| 1568077071 | Amber Mottola | Student in an Organized Health Care Education/Training Program | 550 N Figueroa St Apt 4084, Los Angeles, CA 90012-3389 | 2020-09-11 |
| 1760096937 | Elizabeth Idema | Student in an Organized Health Care Education/Training Program | 1559 N Commonwealth Ave, Los Angeles, CA 90027-5513 | 2020-09-03 |
| 1053924225 | Deanna Sharon Lin | Student in an Organized Health Care Education/Training Program | 520 So Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 | 2020-08-28 |
| 1003429762 | Kendra Knudsen | Student in an Organized Health Care Education/Training Program | 611 Levering Ave Apt 3, Los Angeles, CA 90024-2325 | 2020-08-24 |
| 1750993515 | Deena Basilious | Student in an Organized Health Care Education/Training Program | 1403 S Union Ave, Los Angeles, CA 90015-3205 | 2020-08-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on AMANDA YJ 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.