LYDIA R KIM


Address: 7373 West Ln Ste 355, Stockton, CA 95210-3377
Phone: 2094762166

LYDIA R KIM (NPI# 1801139068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801139068
Entity Type Individual
Full Name LYDIA R KIM
Credential M.D.
Practice Address 7373 West Ln Ste 355
Stockton
CA 95210-3377
Mailing Address 600 Highland Ave
Madison
WI 53792-0001
Practice Telephone 2094762166
Enumeration Date 2013-04-05
Last Update Date 2017-10-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology A150150 CA Allopathic & Osteopathic Physicians
N 207N00000X Dermatology 64429 WI Allopathic & Osteopathic Physicians

Other Providers LYDIA KIM

NPI Name Taxonomy Address Enumeration
1184192627 Lydia K Kim Home Health Aide 450 Pintail Ct, Suwanee, GA 30024-6072 2018-11-02
1043586548 Lydia Kim Pediatrics 200 N Wolfe St Ste 3075, Baltimore, MD 21287 2012-03-28
1407334428 Lydia Kim Student in an Organized Health Care Education/Training Program 101 The City Dr S Bldg 3, Orange, CA 92868-3201 2018-08-01
1558806851 Lydia Y Kim Acupuncturist 8929 S Sepulveda Blvd, Suite 205, Los Angeles, CA 90045-3616 2016-12-22
1952701773 Lydia Kim Psychologist 4650 W Sunset Blvd, Ms #53, Los Angeles, CA 90027-6062 2014-08-28
1780973396 Lydia Soo-hyun Kim Pediatrics Us Hwy 491 North, Shiprock, NM 87420 2011-04-04

Office Location

Street Address 7373 WEST LN STE 355
City STOCKTON
State CA
Zip Code 95210-3377

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NPI Name Taxonomy Address Enumeration
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1821651324 Maria Guadalupe Toledo Lactation Consultant, Non-RN 7912 Hammer Lane, Stockton, CA 95210 2019-04-19
1508226440 Active Life Adult Day Care, Inc. Clinic/Center 7209 Tam O'shanter Dr., Stockton, CA 95210 2016-03-04
1548631260 Rachel Standley Substance Abuse Rehabilitation Facility 8017 El Cajon St, Stockton, CA 95210 2015-10-08
1225435308 Active Life Medical Produtcs Inc Durable Medical Equipment & Medical Supplies 611 W Grider Way, Stockton, CA 95210 2014-12-04
1942633318 Kimberly Ruiz Dizon Physician Assistant 1530 E Hammer Ln, Stockton, CA 95210 2013-08-20
1285920983 Supplemental Health Care Preferred Provider Organization 8425 Kiltie Wy, Stockton, CA 95210 2011-06-22
1770807901 Stockton Medical Weight Loss Center Inc Internal Medicine 1801 E. March Lane, Suite 400d, Stockton, CA 95210 2010-03-17
1699911412 Pratap Krishna Anne Pharmacist 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 2008-12-29
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376649269 Gerald N Bock Dermatology 1617 St Marks Plaza, C, Stockton, CA 95207 2006-09-16
1063887883 Sutter Valley Medical Foundation Dermatology 2545 W Hammer Ln, Stockton, CA 95209-2839 2015-12-04
1578961843 Stuart I Jacobs Md, A Professional Corporation Dermatology 5345 N El Dorado St, Suite 12, Stockton, CA 95207-5872 2014-12-18
1669817011 Lauren Henderson Lomax Dermatology 2545 W Hammer Ln, Stockton, CA 95209-2839 2013-04-29
1730475633 Erin Nicole Fuller Dermatology 2545 W Hammer Ln, Stockton, CA 95209-2839 2011-06-20
1245462845 Amanzoopinder Samrao Dermatology 7373 West Ln, Stockton, CA 95210-3377 2009-08-14
1255503629 Roland Hart Md Inc Dermatology 3031 W March Ln, Suite 336e, Stockton, CA 95219-6500 2008-03-26
1538280292 Blanca Esmeralda Ochoa Dermatology 2545 W Hammer Ln, Stockton, CA 95209-2839 2007-04-02
1710025994 Pacific Dermatology Medical Associates, Inc Dermatology 4553 Quail Lakes Dr, Stockton, CA 95207-5257 2007-02-01
1023196938 Moses Elam Dermatology 7373 West Ln, Stockton, CA 95210-3377 2006-11-01
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Competitor

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City STOCKTON
Zip Code 95210

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Dataset Information

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.

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