BOB KIM (NPI# 1922607894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922607894 |
Entity Type | Individual |
Full Name | BOB KIM |
Credential | FNP-C |
Practice Address |
2222 Santa Monica Blvd Ste 301 Santa Monica CA 90404-2307 |
Mailing Address |
336 S Occidental Blvd Apt 206 Los Angeles CA 90057-1544 |
Practice Telephone | 3104490093 |
Mailing Telephone | 2132705684 |
Enumeration Date | 2020-10-21 |
Last Update Date | 2020-10-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F10200931 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
6742 Winnetka Ave, Winnetka, CA 913064348 | 3104490093 |
Street Address |
2222 SANTA MONICA BLVD STE 301 |
City | SANTA MONICA |
State | CA |
Zip Code | 90404-2307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699375717 | Seema Vohra | Nurse Practitioner | 2222 Santa Monica Blvd Ste 301, Santa Monica, CA 90404-2307 | 2020-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
Find all providers in zip 90404 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649837907 | Megan Barr | Nurse Practitioner | 954 15th St Unit 104, Santa Monica, CA 90403-3133 | 2019-05-22 |
1548739295 | Ruth Gabay | Nurse Practitioner | 2221 Lincoln Blvd Ste 200, Santa Monica, CA 90405-1320 | 2018-11-23 |
1720539166 | Megan Retterath | Nurse Practitioner | 912 Marguerita Ave, Santa Monica, CA 90402-2030 | 2016-10-20 |
1215335310 | Cindy Swintelski | Nurse Practitioner | 1939 17th St, Santa Monica, CA 90404-4772 | 2014-12-05 |
1275938367 | Meribeth Hart | Nurse Practitioner | 2211 Michigan Avenue, Santa Monica, CA 90404-3905 | 2014-10-31 |
1144430307 | Anne Therese Mckenna | Nurse Practitioner | 1060 20th St Apt 17, Santa Monica, CA 90403-4513 | 2007-05-23 |
1699375717 | Seema Vohra | Nurse Practitioner | 2222 Santa Monica Blvd Ste 301, Santa Monica, CA 90404-2307 | 2020-10-28 |
1780218669 | Alysa-marie C Sia | Nurse Practitioner | 2001 Santa Monica Blvd Ste 280w, Santa Monica, CA 90404-2172 | 2020-02-28 |
1063052405 | Deborah Campana Winstead | Nurse Practitioner | 1250 16th St, Santa Monica, CA 90404-1249 | 2020-01-14 |
1750928826 | Karina Lipkin | Nurse Practitioner | 1301 20th St Ste 465, Santa Monica, CA 90404-2090 | 2019-12-07 |
Find all providers in SANTA MONICA |
City | SANTA MONICA |
Zip Code | 90404 |
Please comment or provide details below to improve the information on BOB KIM.
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.