MR. YOUNG KIM (NPI# 1003863069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003863069 |
| Entity Type | Individual |
| Full Name | MR. YOUNG KIM |
| Credential | MD |
| Practice Address |
1500 E Duarte Rd Duarte CA 91010 |
| Mailing Address |
Po Box 512185 Los Angeles CA 90051-0185 |
| Practice Telephone | 6263598111 |
| Mailing Telephone | 6267753514 |
| Mailing Fax Number | 6262185310 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2018-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZH0000X |
Pathology Specialization: Hematology |
A68660 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
A68660 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A686600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399356 | Young Joo Kim | Acupuncturist | 3237 Corporate Ct, Ellicott City, MD 21042-2247 | 2019-11-04 |
| 1083176523 | Young K Kim | Acupuncturist | 1027 4th Ave, Los Angeles, CA 90019-2018 | 2019-04-03 |
| 1336611938 | Young Ho Kim | Acupuncturist | 2966 Wilshire Blvd # A, Los Angeles, CA 90010-1128 | 2018-12-20 |
| 1356819767 | Young Sun Kim | Acupuncturist | 452 N 8th St Unit B, Fairview, NJ 07022-1106 | 2018-11-05 |
| 1467980482 | Young Mi Kim | Social Worker | 22252 Parched Dr, Calabasas, CA 91302-6117 | 2017-06-03 |
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1801347992 | Young O Kim | Acupuncturist | 3000 W Olympic Blvd Ste 301, Los Angeles, CA 90006-6512 | 2016-10-24 |
| 1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
| 1700207941 | Young Kim | Internal Medicine | 251 Campus Drive Room X3c46 Medical School Office Bdg, Division of General Medical Disciplines, Stanford, CA 94305 | 2013-12-13 |
| 1245584804 | Young Kyu Kim | Acupuncturist | 3130 Wilshire Blvd Ste 308, Los Angeles, CA 90010-1206 | 2012-11-05 |
| Street Address |
1500 E DUARTE RD |
| City | DUARTE |
| State | CA |
| Zip Code | 91010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598731820 | John Hosei Yim | Surgery | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2006-02-27 |
| 1568989739 | Susan Shehayeb | Genetic Counselor, MS | 1500 E Duarte Rd, Duarte, CA 91010 | 2017-08-28 |
| 1992157325 | Bekir Suveyd | Internal Medicine | 1500 E Duarte Rd, Endocrinology, Gonda South Building, Suite 1011a, Duarte, CA 91010 | 2016-07-09 |
| 1548689649 | Jennifer Sarah Baecker | Nurse Practitioner | 1500 E Duarte Rd, Duarte, CA 91010 | 2014-04-16 |
| 1295176394 | Razmig Vatche Babikian | Registered Nurse | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2013-07-17 |
| 1902197254 | Mari Bozoghlanian | Radiology | 1500 E Duarte Rd, Helford Hospital, Rm 1300, Duarte, CA 91010 | 2011-04-20 |
| 1972828366 | Jamie Green Rand | Surgery | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2010-03-29 |
| 1053565143 | Lee Zuckerman | Orthopaedic Surgery | 1500 E Duarte Rd, Duarte, CA 91010-3012 | 2008-11-16 |
| 1033368642 | Finly Zachariah | Family Medicine | 1500 E Duarte Rd, Department of Supportive Care, Duarte, CA 91010-3012 | 2008-09-18 |
| 1891965836 | Lydia Helen Mormann | Nurse Practitioner | 1500 E Duarte Rd, Duarte, CA 91010 | 2008-03-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
| Find all providers in zip 91010 | ||||
| Taxonomy Code | 207ZH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Hematology |
| A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285935585 | Jerry Thwin Wong | Pathology | 1500 East Duarte Road, Duarte, CA 91010 | 2010-11-03 |
| 1851534549 | Olga V Danilova | Pathology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2009-04-12 |
| 1659520880 | Raju K Pillai | Pathology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2008-09-11 |
| 1326230228 | Michelle Afkhami | Pathology | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2007-08-14 |
| 1710943543 | Karl Gaal | Pathology | 1500 E Duarte Rd, Duarte, CA 91010 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982059168 | Michael Greas | Pathology | 1100 N. State Street, Clinic Tower - A7e (department of Pathology), Los Angeles, CA 90033 | 2016-04-26 |
| 1932528304 | Chunlai Zuo | Pathology | 10833 Le Conte Ave # Chs255-c, Los Angeles, CA 90095-9521 | 2014-04-14 |
| 1386062347 | Matthew Koo | Pathology | Stanford University Medical Center Dept of Pathology, 300 Pasteur Drive Room H-2110, Stanford, CA 94305 | 2014-04-06 |
| 1639519770 | Adam Cloe | Pathology | 6033 Hillandale Dr, Los Angeles, CA 90042 | 2013-07-03 |
| 1477990125 | John Paul Graff | Pathology | 4400 V St Ste 1107, Department of Pathology, Sacramento, CA 95817-1445 | 2013-06-03 |
| 1770861957 | Sue Beruti | Pathology | 6635 Halite Pl, Carlsbad, CA 92009-1738 | 2011-07-22 |
| 1528353786 | Joshua R Menke | Pathology | 300 Pasteur Dr Bldg L235, Stanford, CA 94305-2295 | 2011-06-16 |
| 1033410626 | Thomas C Laipply | Pathology | 2340 Zodiac St, Carlsbad, CA 92009-5340 | 2010-11-12 |
| 1093959371 | Stephen Lewis Cook | Pathology | 300 Pasteur Dr # H2110, Stanford, CA 94305 | 2009-04-30 |
| 1891939450 | Sonic Labzone Inc | Pathology | 18543 Devonshire St, Suite 449, Northridge, CA 91324-1308 | 2009-04-27 |
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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.