DR. JUNG YUN KIM (NPI# 1063410397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063410397 |
| Entity Type | Individual |
| Full Name | DR. JUNG YUN KIM |
| Credential | PHD |
| Practice Address |
3540 Wilshire Blvd Los Angeles CA 90010-2307 |
| Mailing Address |
6550 W Olympic Blvd Los Angeles CA 90048-5354 |
| Practice Telephone | 3233945164 |
| Mailing Telephone | 3233945164 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| X | 103TC0700X |
Psychologist Specialization: Clinical |
17994 | CA | Behavioral Health & Social Service Providers |
| X | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083136659 | Jung E Kim | Speech-Language Pathologist | 37 Summit Ave, Metuchen, NJ 08840 | 2017-07-14 |
| 1215307095 | Jung O. Kim IIi | Nurse Practitioner | 23247 Mcbean Parkway, Valencia, CA 91355 | 2015-10-06 |
| 1528323714 | Jung Kim | Dietitian, Registered | 540 Ashbourne Rd, Cheltenham, PA 19012-1702 | 2012-07-12 |
| 1902163090 | Jung Kyung Kim | Acupuncturist | 2049 P C H Ste 107, Lomita, CA 90717-2661 | 2012-04-13 |
| 1174818496 | Jung H Kim | Dentist | 309a Broad Ave, Palisades Park, NJ 07650-1620 | 2011-06-15 |
| 1104145226 | Jung Il Kim | Acupuncturist | 2315 Marks Dr, Tustin, CA 92782-1500 | 2010-05-28 |
| 1255662896 | Jung S Kim | Acupuncturist | 26 Bellinger Ct., Reisterstown, MD 21136 | 2010-01-21 |
| 1396910733 | Jung Min Kim | Dentist | 4233 Rosewood Dr, 11, Pleasanton, CA 94588 | 2008-04-28 |
| 1134311699 | Jung Hee Kim | Acupuncturist | 2650 W Temple St, Los Angeles, CA 90026-4822 | 2007-08-17 |
| 1235320037 | Jung Sook Kim | Acupuncturist | 7230 Medical Center Dr Ste 400, West Hills, CA 91307-4013 | 2007-08-06 |
| Street Address |
3540 WILSHIRE BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90010-2307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093172603 | Victor Sadeghi Malvajerdi Chiropractic | Chiropractor | 3540 Wilshire Blvd, Los Angeles, CA 90010 | 2016-01-27 |
| 1821498981 | Hwang Dental Corporation | Dentist | 3540 Wilshire Blvd, Ste. 210, Los Angeles, CA 90010-2307 | 2014-08-26 |
| 1780987388 | Euphil Juliette T Aseniero | Occupational Therapist | 3540 Wilshire Blvd, 200, Los Angeles, CA 90010-2307 | 2010-12-21 |
| 1710288493 | Five Point Physical Therapy Inc | Occupational Therapist | 3540 Wilshire Blvd, #200, Los Angeles, CA 90010-2307 | 2010-11-11 |
| 1760783666 | Jarred Garcia | Physical Therapist | 3540 Wilshire Blvd, 200, Los Angeles, CA 90010-2307 | 2010-11-08 |
| 1134429004 | Henry Go Penaranda | Occupational Therapist | 3540 Wilshire Blvd, 314, Los Angeles, CA 90010-2307 | 2010-10-26 |
| 1902110067 | Grace G Montojo | Physical Therapist | 3540 Wilshire Blvd, 314, Los Angeles, CA 90010-2307 | 2010-07-31 |
| 1871811448 | Hayasa Medical Group Inc | General Practice | 3540 Wilshire Blvd, Suite 714, Los Angeles, CA 90010-2307 | 2010-05-06 |
| 1669795431 | Wilshire Medical Clinic | Neuromusculoskeletal Medicine, Sports Medicine | 3540 Wilshire Blvd, Suite: 1014, Los Angeles, CA 90010-2307 | 2010-03-09 |
| 1487987905 | Wilshire Multi-specialty Clinic | Optometrist | 3540 Wilshire Blvd, Ste: 1028, Los Angeles, CA 90010-2307 | 2009-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205454204 | Sage Minds | Psychiatry & Neurology | 3860 Wilshire Blvd, P04-1188, Los Angeles, CA 90010 | 2020-07-07 |
| 1629602750 | Shalva, A Psychology Corporation | Counselor | 4221 Wilshire Boulevlard, Suite 170b, Los Angeles, CA 90010 | 2020-02-27 |
| 1609346287 | Leticia Arteaga | Marriage & Family Therapist | 3580 Wilshire Blvd Suite 800, Los Angeles, CA 90010 | 2018-11-27 |
| 1891265559 | Maria Nguyen | Case Manager/Care Coordinator | 3424 Wilshire Blvd Ste 1000, Los Angeles, CA 90010 | 2018-11-26 |
| 1568955474 | Cherie Emi Okada | Student in an Organized Health Care Education/Training Program | 358 Wilshire Blvd, Suite 2000, Los Angeles, CA 90010 | 2018-06-14 |
| 1780101832 | Bj Park, Chiropractic | Acupuncturist | 3020 Wilshire Blvd., Suite 220, Los Angeles, CA 90010 | 2017-08-29 |
| 1952828188 | Karin Alm | Case Manager/Care Coordinator | 3580 Wilshire Blvd., Suite 2000, Los Angeles, CA 90010 | 2017-08-28 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1770032690 | Astghik Harutyunyan | Special Hospital | 3699 Wilshire Blve, Los Angeles, CA 90010 | 2016-10-04 |
| 1629446281 | Praveena Chinniah | Behavioral Analyst | 4221 Wilshire Blvd., Suite 300a, Los Angeles, CA 90010 | 2015-09-11 |
| Find all providers in zip 90010 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720450638 | Nicholas Anderson | Psychologist | 2901 S Sepulveda Blvd Apt 206, Los Angeles, CA 90064-3946 | 2015-10-30 |
| 1912426024 | Sylvia Montano | Psychologist | 2001 S Barrington Ave, Los Angeles, CA 90025-5363 | 2017-09-11 |
| 1598280620 | Patricia Zadeh | Psychologist | 2001 S Barrington Ave Ste 314, Los Angeles, CA 90025-5379 | 2017-08-09 |
| 1376913400 | The Camden Center Older Adults Program, Inc. | Psychologist | 10780 Santa Monica Blvd Ste 105, Los Angeles, CA 90025-7613 | 2015-10-01 |
| 1083098685 | John H. Peloian | Psychologist | 12401 Wilshire Blvd, Suite 300-4, Los Angeles, CA 90025-1085 | 2015-07-13 |
| 1871983106 | Elderly Behavioral Wellness Services Inc | Psychologist | 2001 S Barrington Ave, Ste. 219, Los Angeles, CA 90025-5363 | 2015-01-26 |
| 1760815765 | Elizabeth Trejo | Psychologist | 1520 San Pablo St, Los Angeles, CA 90033-5310 | 2013-08-13 |
| 1538466800 | Anahita Gheytanchi | Psychologist | 2035 Westwood Blvd, Suite 208, Los Angeles, CA 90025-6332 | 2011-02-22 |
| 1588975247 | Michael Frese | Psychologist | 11911 San Vicente Blvd Ste 280, Los Angeles, CA 90049-6611 | 2010-06-28 |
| 1548477458 | Monika Riederle | Psychologist | 1224 Vine St, Los Angeles, CA 90038-1612 | 2007-05-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90010 |
Please comment or provide details below to improve the information on DR. JUNG YUN 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.