KYUYOUNG SHIM (NPI# 1902210206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902210206 |
| Entity Type | Individual |
| Full Name | KYUYOUNG SHIM |
| Practice Address |
7212 Orangethorpe Ave 9a Buena Park CA 90621-3341 |
| Practice Telephone | 7145036550 |
| Mailing Telephone | 7145036550 |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DRIVER LICENCE NUMBER | E2749600 | 01 |
| Street Address |
7212 ORANGETHORPE AVE 9A |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90621-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295772507 | Robert H. Moon | Internal Medicine | 7212 Orangethorpe Ave, Suite 9a, Buena Park, CA 90621-3341 | 2006-06-02 |
| 1568945087 | Hannah Kim | Counselor | 7212 Orangethorpe Ave, Buena Park, CA 90621-3341 | 2018-09-11 |
| 1053820712 | Tajinder Kaur Tut | Registered Nurse | 7212 Orangethorpe Ave, Buena Park, CA 90621-3341 | 2017-09-26 |
| 1215460001 | Hyekyung Thrane | Nurse Practitioner | 7212 Orangethorpe Ave, Buena Park, CA 90621-3341 | 2017-04-07 |
| 1568902252 | We Sun Park | Counselor | 7212 Orangethorpe Ave, Buena Park, CA 90621-3341 | 2017-03-01 |
| 1588109961 | Hyun Choi | Counselor | 7212 Orangethorpe Ave, Suite 8, Buena Park, CA 90621-3341 | 2016-12-21 |
| 1124486527 | Bonwellness Clinic, Inc | Acupuncturist | 7212 Orangethorpe Ave, Ste 6, Buena Park, CA 90621-3341 | 2016-02-01 |
| 1932595220 | Lyleanna K Nguyen | Registered Nurse | 7212 Orangethorpe Ave, 9a, Buena Park, CA 90621-3341 | 2015-04-13 |
| 1487047353 | Joo Chun | Registered Nurse | 7212 Orangethorpe Ave, Suite 9a, Buena Park, CA 90621-3341 | 2015-03-16 |
| 1811380322 | Gabriel Fernandez | Registered Nurse | 7212 Orangethorpe Ave, Suite 9a, Buena Park, CA 90621-3341 | 2015-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756780 | Jung Hee Lee Kim | Acupuncturist | 6881 Stanton Ave. #f, Buena Park, CA 90621 | 2020-10-08 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1275197733 | Adrian Acosta Dds, A Professional Dental Corporation | Dentist | 4600 Beach Blvd Ste A, Buena Park, CA 90621 | 2019-04-30 |
| 1568965499 | Lasik Eyecare Medical Corporation | Ophthalmology | 5832 Beach Blvd. Suite No. 109 B, Buena Park, CA 90621 | 2018-03-16 |
| 1144743857 | Angel Gabriel Castillo Israel | Nurse Practitioner | 6915 Faculty Circle Apt. D, Buena Park, CA 90621 | 2017-07-25 |
| 1477074813 | Susan Moon Lee | Dentist | 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 | 2017-07-06 |
| 1083149637 | Jung Ae Lee | Acupuncturist | 6881 Stanton Avenue, Suite C1, Buena Park, CA 90621 | 2017-04-20 |
| 1528502648 | Boung Kim I | Dentist | 8754 Garden Grove Bld, Garden Grove, CA 90621 | 2016-12-08 |
| 1689116550 | Sara Park | Acupuncturist | 4600 Beach Blvd, Suite M, Buena Park, CA 90621 | 2016-11-09 |
| 1548710783 | Hey Lee | Student in an Organized Health Care Education/Training Program | 7212 Orangeorpe Ave #8, Buena Park, CA 90621 | 2016-10-12 |
| Find all providers in zip 90621 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750423398 | Jose Uranga | Counselor | 7971 4th St, Buena Park, CA 90621-2461 | 2007-02-12 |
| 1255992756 | Yun Hui Kim | Counselor | 7212 Orangethorpe Ave Ste 8, Buena Park, CA 90621-4667 | 2019-06-25 |
| 1568945087 | Hannah Kim | Counselor | 7212 Orangethorpe Ave, Buena Park, CA 90621-3341 | 2018-09-11 |
| 1104290055 | Tami Allingham | Counselor | 6301 Beach Blvd Ste 245, Buena Park, CA 90621-4031 | 2015-11-16 |
| 1942614334 | Janet Choung | Counselor | 7212 Orangethorpe Ave Ste 8, Buena Park, CA 90621-4667 | 2014-06-13 |
| 1205191947 | Kwang Ho Kim | Counselor | 7212 Orangethorpe Ave, Buena Park, CA 90621-3341 | 2012-07-09 |
| 1326328410 | Kenneth Leroy Minnick | Counselor | 7212 Orangethorpe Ave, Buena Park, CA 90621-3341 | 2011-08-22 |
| 1114222916 | Estrella Marie Tamburro | Counselor | 6301 Beach Blvd, Suite 245, Buena Park, CA 90621-2840 | 2011-01-26 |
| 1699930362 | Hey-keun Shin | Counselor | 7212 Orangethorpe Ave Ste 8, Buena Park, CA 90621-4667 | 2008-07-22 |
| 1619021235 | Ada Isabel Reveles | Counselor | 6301 Beach Blvd, Suite #245, Buena Park, CA 90621-2840 | 2007-01-22 |
| Find all providers in BUENA PARK | ||||
| City | BUENA PARK |
| Zip Code | 90621 |
Please comment or provide details below to improve the information on KYUYOUNG SHIM.
| 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.