MR. YOUNGBAE KIM (NPI# 1962664862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962664862 |
| Entity Type | Individual |
| Full Name | MR. YOUNGBAE KIM |
| Credential | DDS |
| Practice Address |
903 Crenshaw Blvd #303 Los Angeles CA 90019-1964 |
| Mailing Address |
903 South Crenshaw Blvd #303 La CA 90019 |
| Practice Telephone | 3239304800 |
| Practice Fax Number | 3239304801 |
| Mailing Telephone | 3239304800 |
| Mailing Fax Number | 3239304801 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2016-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
48624 | CA | Dental Providers |
| Street Address |
903 CRENSHAW BLVD #303 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90019-1964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710914254 | Hasung Lee Md Pediatic Clinic | Pediatrics | 903 Crenshaw Blvd, #104, Los Angeles, CA 90019 | 2006-06-28 |
| 1235670969 | Youn Kgan Kim | Acupuncturist | 903 Crenshaw Blvd, #302, Los Angeles, CA 90019-1964 | 2017-03-14 |
| 1760831853 | Eun Kyung Bae | Occupational Therapist | 903 Crenshaw Blvd, #301, Los Angeles, CA 90019-1964 | 2016-06-08 |
| 1407201676 | Canaan Surgery Center, Inc. | Clinic/Center | 903 Crenshaw Blvd, Suite 200, Los Angeles, CA 90019-1964 | 2016-04-25 |
| 1932591575 | Won Jung Choi | Acupuncturist | 903 Crenshaw Blvd, 304, Los Angeles, CA 90019-1964 | 2015-02-18 |
| 1881959500 | Michelle Dinh Nguyen Md A Medical Corporation | Anesthesiology | 903 Crenshaw Blvd, Ste.#200, Los Angeles, CA 90019-1964 | 2012-07-09 |
| 1205142809 | Cathy Kyonghee Kim | Acupuncturist | 903 Crenshaw Blvd, Suite 204, Los Angeles, CA 90019-1964 | 2010-08-20 |
| 1225343106 | Sunny Suneui Kim | Acupuncturist | 903 Crenshaw Blvd, #105, Los Angeles, CA 90019 | 2010-08-16 |
| 1285805002 | Sung Ho Chin | Occupational Therapist | 903 Crenshaw Blvd, Ste 301, Los Angeles, CA 90019-1967 | 2008-03-19 |
| 1265626972 | Dream Physical Therapy Inc | Physical Therapist | 903 Crenshaw Blvd, Suite 310, Los Angeles, CA 90019-1964 | 2007-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386299139 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1302 South La Brea, Los Angeles, CA 90019 | 2019-08-08 |
| 1104383694 | 310 Recovery Inc. | Clinic/Center | 1723 1/2 Hauser Blvd, Los Angeles, CA 90019 | 2019-02-21 |
| 1184131328 | Sehyeong Son | Acupuncturist | 1722 Crenshaw Blvd, Los Angeles, CA 90019 | 2018-01-09 |
| 1285158154 | Vanessa A. Myrie | Social Worker | 5562 Packard St., Los Angeles, CA 90019 | 2017-08-01 |
| 1093241309 | Hamburger Home | Community/Behavioral Health | 4066 W. 17th Street, Los Angeles, CA 90019 | 2017-05-05 |
| 1639614779 | Jung Ho Kang | Acupuncturist | 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 | 2016-12-28 |
| 1912353491 | Sung Won Lee | Acupuncturist | 4027 W. Pico Bl., Los Angeles, CA 90019 | 2016-05-13 |
| 1497188528 | Sfvcmhc | Community/Behavioral Health | 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 | 2013-08-13 |
| 1467890160 | Denise Breheny | Lactation Consultant, Non-RN | 1053 Carmona Ave., Los Angeles, CA 90019 | 2013-06-05 |
| 1336483122 | Nancy Denise - Latten Davidson | Student in an Organized Health Care Education/Training Program | 4073-75 West Pico Blvd, Los Angeles, CA 90019 | 2012-11-16 |
| Find all providers in zip 90019 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349082 | Reza Mehr | Dentist | 900 W Temple St Apt 506, Los Angeles, CA 90012-4551 | 2020-08-31 |
| 1396355590 | Kamyar Moradian | Dentist | 9201 Venice Blvd, Los Angeles, CA 90034-3324 | 2020-08-04 |
| 1669096160 | Leora H Sheily Dds PC | Dentist | 4852 Melrose Ave, Los Angeles, CA 90029-3736 | 2020-06-01 |
| 1013539535 | Smit Dangaria Dds Phd Inc | Dentist | 1325 S Harvard Blvd, Los Angeles, CA 90006-4229 | 2020-05-07 |
| 1912530585 | Sara Bahri Sabokpey | Dentist | 2001 Stradella Rd, Los Angeles, CA 90077-2322 | 2020-02-21 |
| 1518504497 | Jonathan Dye | Dentist | 1626 Palo Alto St Apt 102, Los Angeles, CA 90026-5052 | 2019-12-10 |
| 1972147940 | Catherine Margary Cuaco Begazo | Dentist | 100 S Doheny Dr Apt 209, Los Angeles, CA 90048-2926 | 2019-11-03 |
| 1386285427 | Jefferson Dental Corporation | Dentist | 12013 Wilshire Blvd, Los Angeles, CA 90025-1201 | 2019-09-30 |
| 1043868698 | Semyon Segal | Dentist | 2815 W Sunset Blvd Ste 106, Los Angeles, CA 90026-2168 | 2019-08-27 |
| 1144875592 | Jay Singh | Dentist | 11346 Iowa Ave Apt 203, Los Angeles, CA 90025-6085 | 2019-08-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90019 |
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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.