HAN S. KIM (NPI# 1861946683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861946683 |
| Entity Type | Individual |
| Full Name | HAN S. KIM |
| Credential | DMD |
| Practice Address |
4279 Tierra Rejada Rd Moorpark CA 93021-3775 |
| Mailing Address |
1040 Flynn Rd Camarillo CA 93012-5092 |
| Practice Telephone | 8056733930 |
| Practice Fax Number | 8056593217 |
| Mailing Telephone | 8056733930 |
| Mailing Fax Number | 8056593217 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 65331 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013432632 | Han Kim | Dentist | 133 Whispering Trl, Irvine, CA 92602-0800 | 2017-08-04 |
| 1912241134 | Han Seong Kim | Chiropractor | 151 87th St, Suite 1, Daly City, CA 94015-1696 | 2012-11-15 |
| 1538369285 | Han Na Kim | Physical Therapist | 41-09 108th St., Suite Ll, Corona, NY 11368 | 2007-07-20 |
| 1124645122 | Han Na Kim | Pharmacist | 42520 Bob Hope Dr, Rancho Mirage, CA 92270-4471 | 2020-06-25 |
| 1134768047 | Han Man Kim | Physical Therapist | 827 Ne Lakewood Blvd, Lees Summit, MO 64064-1366 | 2019-12-26 |
| 1003241191 | Han Sung Kim | Speech-Language Pathologist | 2103 Tenakill Park E, Cresskill, NJ 07626-2023 | 2013-09-07 |
| 1760821375 | Han Kim | Ophthalmology | 4860 Y St Ste 2400, Sacramento, CA 95817-2307 | 2013-06-17 |
| 1447484647 | Han Sung Kim | Dentist | 2727 W Olympic Blvd, 311, Los Angeles, CA 90006-2637 | 2009-05-04 |
| 1376710665 | Han Jo Kim | Orthopaedic Surgery | 535 E 70th St, New York, NY 10021-4823 | 2008-05-15 |
| 1730292855 | Han Woong Kim | Internal Medicine | 4101 N Roxboro St, Durham, NC 27704-2121 | 2006-08-15 |
| Street Address |
4279 TIERRA REJADA RD |
| City | MOORPARK |
| State | CA |
| Zip Code | 93021-3775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750394417 | Amir Sadri | Dentist | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2006-08-14 |
| 1154823748 | Liliana Camacho | Physician Assistant | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2018-02-28 |
| 1063935880 | Annie Hovakemian | Optometrist | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2017-07-24 |
| 1376087122 | Elena Rubin | Nurse Practitioner | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2016-12-13 |
| 1821468851 | Shirley Il Hartman | Social Worker | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2015-10-02 |
| 1396179131 | Fernando Cervantes Jr. | Social Worker | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2013-08-28 |
| 1093061459 | Pallavi Kamra | Pediatrics | 4279 Tierra Rejada Rd, Clinicas Del Camino Real, Moorpark, CA 93021-3775 | 2012-08-02 |
| 1841556404 | Clinicas Del Camino Real Inc | Clinic/Center | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2012-04-09 |
| 1447365770 | Michael Ryan Huffman | Chiropractor | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296608 | Monica Ramos | Optometrist | 766 W Los Angeles Ave D-3, Moorpark, CA 93021 | 2020-08-21 |
| 1356964761 | Allen Taniguchi | Pharmacist | 12476 Spring Creek Rd, Moorpark, CA 93021 | 2020-05-20 |
| 1538701735 | Lynda L. Bickerstaff | Technician | 6439 Cornell Circle, Moorpark, CA 93021 | 2019-10-09 |
| 1801280615 | Rebecca Solares | Marriage & Family Therapist | 301 Science Dr. Ste 235, Moorpark, CA 93021 | 2015-03-19 |
| 1316347792 | Exovie,llc | Durable Medical Equipment & Medical Supplies | 680 Flinn Ave Ste 38, Moorpark, CA 93021 | 2014-09-04 |
| 1982975280 | Niloufar Parya Hosseini | Pharmacist | 12204 Palmer Drive, Moorpark, CA 93021 | 2012-01-18 |
| 1790081966 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 12039 Hertz Street, Moorpark, CA 93021 | 2011-02-04 |
| 1457541708 | John E. Trachsel A Chiropractic Corp. | Chiropractor | 14711 Princeton Ave., Suite #13, Moopark, CA 93021 | 2007-08-01 |
| 1790998193 | Jedediah Huss Dental Corporation | Dentist | 718 Los Angeles Ave, Suite 3, Moorpark, CA 93021 | 2007-05-08 |
| 1477606945 | Kimberly A Tedder | Optometrist | 766 Los Angeles Ave, Suite D3, Moorpark, CA 93021 | 2007-01-19 |
| Find all providers in zip 93021 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063890937 | Zachary L Potts Dds Incorporated | Dentist | 4217 Tierra Rejada Rd, Moorpark, CA 93021-3772 | 2015-05-12 |
| 1982094017 | Paul Hojin Jang | Dentist | 14711 Princeton Ave Ste 12, Moorpark, CA 93021-1469 | 2015-01-27 |
| 1134521024 | Sahar Sepidehdam | Dentist | 100 W. High St. #617, Moorpark, CA 93020-1820 | 2014-09-22 |
| 1013345834 | Ely Hasany Dds,inc. | Dentist | 217 W Los Angeles Ave, Moorpark, CA 93021-1867 | 2013-10-15 |
| 1295965630 | Tina Thuy Tran Nguyen | Dentist | 6786 Westwood St, Moorpark, CA 93021-1342 | 2009-07-20 |
| 1174737357 | Zachary Leroy Potts | Dentist | 4217 Tierra Rejada Rd., Moorpark, CA 93021-3772 | 2007-05-09 |
| 1376659425 | Brian R Forcey Dds Apc | Dentist | 14711 Princeton Ave, #2, Moorpark, CA 93021-1457 | 2006-08-22 |
| 1760596878 | Douglas Topper | Dentist | 530 Los Angeles Ave, #213, Moorpark, CA 93021-2089 | 2006-08-18 |
| 1750394417 | Amir Sadri | Dentist | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2006-08-14 |
| 1598799199 | Manohara Welikala | Dentist | 55 W Los Angeles Ave, Moorpark, CA 93021-1820 | 2006-07-10 |
| Find all providers in MOORPARK | ||||
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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.