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).
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 |
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 |
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 |
Street Address |
7373 WEST LN STE 355 |
City | STOCKTON |
State | CA |
Zip Code | 95210-3377 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
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 |
Find all providers in zip 95210 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
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. |
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 |
Find all providers in STOCKTON |
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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.