STACY KIM (NPI# 1841803764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841803764 |
| Entity Type | Individual |
| Full Name | STACY KIM |
| Practice Address |
Harbor-ucla Dmh 1000 W Carson St Box #488 Torrance CA 90508-0488 |
| Mailing Address |
Harbor-ucla Dmh 1000 W Carson St Box #488 Torrance CA 90508 |
| Practice Telephone | 4243065737 |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2020-08-29 |
| 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 |
|---|---|---|---|---|
| 1457841744 | Stacy Kim | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St Ste 133, Los Angeles, CA 90089-1029 | 2018-05-13 |
| 1669002879 | Stacy Kyungmi Kim | Pharmacist | 1970 Yosemite Pkwy, Merced, CA 95341-5214 | 2020-01-16 |
| 1306289509 | Stacy Juyeh Kim | Radiology | 660 1st Ave Fl 7, New York, NY 10016-3295 | 2013-04-08 |
| 1265633077 | Stacy June Kim | Pathology | 4230 Burnham Ave, Associated Pathologists, Chartered, Las Vegas, NV 89119-5408 | 2007-05-30 |
| Street Address |
HARBOR-UCLA DMH 1000 W CARSON ST BOX #488 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90508-0488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1073163390 | Lauren Emily Taye Wakabayashi | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 91030 | 2019-09-18 |
| 1023667011 | Pooja Patel | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
| 1609476589 | Southbay Care Home, Inc. | Assisted Living Facility | 19917 Anza Avenue, Torrance, CA 90503-2005 | 2020-10-29 |
| 1235738782 | Peninsula Healthcare Center | Nurse Practitioner | 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 | 2020-10-25 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1134727159 | Samantha Om | Occupational Therapist | 3210 Sepulveda Blvd, Torrance, CA 90505-2719 | 2020-10-12 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1962019133 | Megan Sheardown | Behavioral Analyst | 3524 Torrance Blvd Ste 105, Torrance, CA 90503-4821 | 2020-09-30 |
| 1952918708 | Ashley Santiago | Behavior Technician | 21515 Hawthorne Blvd Unit Gl100, Torrance, CA 90503-6501 | 2020-09-25 |
| 1164039012 | Alese Marie Hernandez | Registered Nurse | 24239 Park St, Torrance, CA 90505-6554 | 2020-09-24 |
| Find all providers in TORRANCE | ||||
| 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 |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1205448669 | Jonathan Anhduy Tran | Student in an Organized Health Care Education/Training Program | 2461 W 230th Pl, Torrance, CA 90501-5206 | 2020-08-18 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1588289623 | Elizabeth Lopez Escobar | Student in an Organized Health Care Education/Training Program | 1626 W 209th St Apt 8, Torrance, CA 90501-1937 | 2020-06-15 |
| 1225665250 | Katherine Lee | Student in an Organized Health Care Education/Training Program | 1000 West Carson Street Main Hospital, 7 West, Torrance, CA 90509 | 2020-03-27 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1912490681 | Catherine Marie Peters | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Bldg D5.5, Torrance, CA 90502-2004 | 2018-06-07 |
| 1376040667 | Jenny Hung | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Fl 6, Torrance, CA 90502-2004 | 2018-04-12 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| Find all providers in TORRANCE | ||||
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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.