PAUL S KIM AND KIRK L OHANIAN,MD INC (NPI# 1912959669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912959669 |
| Entity Type | Organization |
| Organization Name | PAUL S KIM AND KIRK L OHANIAN,MD INC |
| Practice Address |
654 Camino De Los Mares San Clemente CA 92673-2827 |
| Mailing Address |
Dept La 21586 Pasadena CA 91185-0001 |
| Practice Telephone | 9494894507 |
| Practice Fax Number | 9494894657 |
| Mailing Telephone | 9494894507 |
| Mailing Fax Number | 9494894657 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | KIRK L OHANIAN (PRESIDENT) |
| Authorized Official Telephone | 9494894507 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0101710 | 05 | |
| CA | BLUE SHIELD | ZZZ65273Z | 01 |
| CA | BLUE SHIELD | ZZZ09164Z | 01 |
| Street Address |
654 CAMINO DE LOS MARES |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609169903 | Jamie Marinos | Nurse Practitioner | 654 Camino De Los Mares, San Clemente, CA 92673-2827 | 2011-05-18 |
| 1033281993 | Cep America - California | Emergency Medicine | 654 Camino De Los Mares, San Clemente, CA 92673-2827 | 2006-11-15 |
| 1346327053 | Larry Burbridge | Emergency Medicine | 654 Camino De Los Mares, Emergency Department, San Clemente, CA 92673-2827 | 2006-11-01 |
| 1356365290 | Hubert E Wong | Emergency Medicine | 654 Camino De Los Mares, San Clemente, CA 92673-2827 | 2006-07-26 |
| 1689698524 | George D Hsieh | Emergency Medicine | 654 Camino De Los Mares, San Clemente, CA 92673-2827 | 2006-07-26 |
| 1184665523 | Emergency Physicians Medical Group, Inc | Emergency Medicine | 654 Camino De Los Mares, San Clemente, CA 92673-2827 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235535220 | Online Radiology Medical Group, Inc. | Radiology | 315 Calle Pescador, San Clemente, CA 92672-2206 | 2014-11-18 |
| 1811910532 | Jeffrey Paul Vargo | Radiology | 209 Calle Potranca, San Clemente, CA 92672-4552 | 2006-07-25 |
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| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
Please comment or provide details below to improve the information on PAUL S KIM AND KIRK L OHANIAN,MD INC.
| 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.