DR. DIANE DEOKSU KIM (NPI# 1821363011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821363011 |
| Entity Type | Individual |
| Full Name | DR. DIANE DEOKSU KIM |
| Credential | PHARM.D. |
| Practice Address |
12582 Central Ave Chino CA 91710-3507 |
| Practice Telephone | 9095917429 |
| Practice Fax Number | 9099029480 |
| Mailing Telephone | 9095917429 |
| Mailing Fax Number | 9099029480 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 59072 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942460605 | Diane Rhee Kim | Family Medicine | 1920 Colorado Blvd., Santa Monica, CA 90404 | 2008-06-16 |
| 1710945589 | Diane M. Kim | Optometrist | 2151 Lemoine Ave., Fort Lee, NJ 07024 | 2006-05-02 |
| 1740806470 | Diane Kim | Midwife | 1650 Grand Concourse Fl 5, Bronx, NY 10457-7606 | 2020-06-18 |
| 1750939047 | Diane Jeong Kim | Dentist | 2228 Macarthur Dr Ste A, Orange, TX 77630-4812 | 2019-08-29 |
| 1518510361 | Diane Kim | Physical Therapy Assistant | 25727 Ne State Road 26, Melrose, FL 32666-6202 | 2019-07-22 |
| 1437656444 | Diane Kim | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2018-04-07 |
| 1174038152 | Diane H. Kim | Nurse Practitioner | 401 Parnassus Ave # 984, San Francisco, CA 94143 | 2017-12-12 |
| 1609395748 | Diane H Kim | Pharmacist | 1860 Centre Ave, Pittsburgh, PA 15219-4369 | 2017-09-10 |
| 1396272969 | Diane Kim | Internal Medicine | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2017-05-15 |
| 1891240651 | Diane Kim | Pharmacist | 2100 Pfingsten Rd, Suite B208, Glenview, IL 60026-1301 | 2016-08-22 |
| Street Address |
12582 CENTRAL AVE |
| City | CHINO |
| State | CA |
| Zip Code | 91710-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376605477 | Jin Ho Kim | Pharmacist | 12582 Central Ave, Chino, CA 91710-3507 | 2006-12-14 |
| 1386160919 | K-moa Healthcare, Inc. | Pharmacy | 12582 Central Ave, Chino, CA 91710-3507 | 2017-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037887 | Corrections and Rehabilitation | Pharmacy | 14901 So Central Avenue, Chino, CA 91710 | 2020-03-11 |
| 1053968289 | California Institute for Men Phcy | Pharmacy | 14901 So Central Ave, Chino, CA 91710 | 2019-08-22 |
| 1982170510 | Kind Care Connections, LLC | In Home Supportive Care | 14726 Ramona Ave # E10, Chino, CA 91710 | 2018-10-22 |
| 1922593789 | Christopher Armando Camarena | Assistant Behavior Analyst | 6062 Eucalyptus Ave, Chino, CA 91710 | 2018-06-25 |
| 1730696519 | Barsoum Dental Corp | Dentist | 14613 Ramona Ave, Chino, CA 91710 | 2018-01-03 |
| 1326569864 | Christina La | Optometrist | 5250 Philadelphia St Ste D, Chino, CA 91710 | 2017-07-06 |
| 1629502554 | Jk Pharmacy Inc | Pharmacy | 5562 Philadelphia St, #110, Chino, CA 91710 | 2017-04-18 |
| 1801336680 | Altek Drugs Inc. | Pharmacy | 13085 Central Ave Ste 2, Chino, CA 91710 | 2017-02-28 |
| 1518405893 | Audrey Ronquillo | Behavior Technician | 800 Ferrari Ln, Suite 100, Ontario, CA 91710 | 2017-02-07 |
| 1952849556 | Jennifer Huynh | Behavior Technician | 800 Ferrari Ln Suite 100, Ontario, CA 91710 | 2017-02-03 |
| Find all providers in zip 91710 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740748102 | Sohilkumar P Patel | Pharmacist | 14617 San Antonio Ave, Chino, CA 91710-6984 | 2019-03-05 |
| 1831590538 | Steven Chang | Pharmacist | 13193 Central Ave Ste 120, Chino, CA 91710-4179 | 2014-09-12 |
| 1508130840 | Jay Kim | Pharmacist | 5562 Philadelphia St Ste 110, Chino, CA 91710 | 2012-03-05 |
| 1942518618 | Vaishali Shah | Pharmacist | 12059 Central Ave, Chino, CA 91710-1908 | 2010-09-16 |
| 1669784641 | La Vern Smith | Pharmacist | 6989 Schaefer Ave, Chino, CA 91710-9126 | 2010-07-08 |
| 1376605477 | Jin Ho Kim | Pharmacist | 12582 Central Ave, Chino, CA 91710-3507 | 2006-12-14 |
| 1568451771 | Premesh Jina | Pharmacist | 12611 9th St, Unit D, Chino, CA 91710-3528 | 2005-10-19 |
| 1629675509 | Shrina Kadivar | Pharmacist | 13085 Central Ave Ste 2, Chino, CA 91710-4184 | 2020-10-05 |
| 1265063432 | Sandy Ha | Pharmacist | 3944 Grand Ave, Chino, CA 91710-5422 | 2020-01-28 |
| 1871157735 | Katelyn Jia Liao | Pharmacist | 5451 Walnut Ave, Chino, CA 91710-2609 | 2019-04-26 |
| Find all providers in CHINO | ||||
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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.