DR. IRENE K KIM (NPI# 1932390390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932390390 |
| Entity Type | Individual |
| Full Name | DR. IRENE K KIM |
| Credential | M.D. |
| Practice Address |
8635 W 3rd St Ste 590w Los Angeles CA 90048-6163 |
| Mailing Address |
8665 Burton Way Ph 12 Los Angeles CA 90048-3992 |
| Practice Telephone | 3104236000 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2016-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204F00000X | Transplant Surgery | A111330 | CA | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | A111330 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952545014 | Irene Kim | Neurological Surgery | 999 N 92nd St Ste 310, Milwaukee, WI 53226-4875 | 2009-04-20 |
| 1487605929 | Irene H Kim | Dentist | 28 Homewood Dr, Morristown, NJ 07960-7907 | 2006-05-12 |
| 1447891536 | Irene Jean Kim | Physician Assistant | 311 Winston St, Los Angeles, CA 90013-1519 | 2019-10-01 |
| 1013411602 | Irene Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2018-03-20 |
| 1003339953 | Irene T Kim | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2017-07-24 |
| 1013389592 | Irene Kim | Pharmacist | 1802 Main St, Chester, MD 21619-2604 | 2015-10-23 |
| 1235420241 | Irene April Kim | Otolaryngology | 200 Medical Plaza, Ste 550, Los Angeles, CA 90024-0000 | 2011-04-25 |
| 1750541215 | Irene E Kim | Nurse Practitioner | 22215 Northern Blvd, Bayside, NY 11361-3678 | 2008-06-09 |
| Street Address |
8635 W 3RD ST STE 590W |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-6163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235150491 | Frank L Rimell | Otolaryngology | 8635 W 3rd St Ste 590w, Los Angeles, CA 90048-6163 | 2006-07-22 |
| 1699316422 | Neal Thaker | Physician Assistant | 8635 W 3rd St Ste 590w, Los Angeles, CA 90048-6163 | 2019-10-02 |
| 1164997698 | Jenifer Hyo Jin Kim | Physician Assistant | 8635 W 3rd St Ste 590w, Los Angeles, CA 90048-6163 | 2018-10-11 |
| 1689925935 | Nabilah Ali | Specialist | 8635 W 3rd St Ste 590w, Los Angeles, CA 90048-6163 | 2012-09-26 |
| 1104196203 | Vesna Grubic | Nurse Practitioner | 8635 W 3rd St Ste 590w, Los Angeles, CA 90048-6163 | 2012-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720097 | Sergey Lyass Md Surgical | Surgery | 8631 W 3rd St # S900e, Los Angeles, CA 90048-5901 | 2019-09-26 |
| 1104317262 | Ryan Alexander Smith | Surgery | 11301 Wilshire Blvd Ofc Va, Los Angeles, CA 90073-1003 | 2018-05-24 |
| 1699215327 | La Surgical Specialists | Surgery | 450 N Greencraig Rd, Los Angeles, CA 90049-2840 | 2017-02-28 |
| 1245681543 | Cina Surgery | Surgery | 3756 Santa Rosalia Dr Ste C100, Los Angeles, CA 90008-3606 | 2016-06-28 |
| 1548622194 | Blair Smart | Surgery | Usc General Surgery Residency Program, 1520 San Pablo Street, Los Angeles, CA 90033-5330 | 2016-03-23 |
| 1053783258 | Michael F. Sedrak, M.d., A Medical Corporation | Surgery | 10336 Wilshire Blvd Apt 602, Los Angeles, CA 90024-4754 | 2015-10-27 |
| 1558737312 | Gene Kyu Lee | Surgery | 1520 San Pablo Street, Hct 4300, Los Angeles, CA 90033 | 2015-08-17 |
| 1851779052 | Michael Fenlon | Surgery | 1520 San Pablo St # 3400, Los Angeles, CA 90033-5310 | 2015-05-08 |
| 1588062566 | Moon Ip | Surgery | 4300 Crenshaw Blvd, Los Angeles, CA 90008-4902 | 2014-12-08 |
| 1629488416 | Cassra Nouri Arbabi | Surgery | 127 S San Vicente Blvd Ste A3100, Los Angeles, CA 90048 | 2014-05-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
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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.