DR. NEUNG SOO KIM (NPI# 1063421923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063421923 |
| Entity Type | Individual |
| Full Name | DR. NEUNG SOO KIM |
| Credential | M.D. |
| Practice Address |
900 S Main St Suite 111 Corona CA 92882-3401 |
| Mailing Address |
25470 Medical Center Dr 206 Murrieta CA 92562-4900 |
| Practice Telephone | 9519737380 |
| Practice Fax Number | 9519737389 |
| Mailing Telephone | 9519737380 |
| Mailing Fax Number | 9519737389 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2008-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
A37349 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
900 S MAIN ST SUITE 111 |
| City | CORONA |
| State | CA |
| Zip Code | 92882-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225037047 | Thomas John Cachur Jr. | Obstetrics & Gynecology | 900 S Main St, Suite 209, Corona, CA 92882 | 2005-07-14 |
| 1124493127 | Eve Summers | Nurse Practitioner | 900 S Main St, Corona, CA 92882-3401 | 2015-12-02 |
| 1063881001 | Women's Institute for Intertility and Reproductive Medicne | Obstetrics & Gynecology | 900 S Main St, Suite 102, Corona, CA 92882-3401 | 2015-09-21 |
| 1881098465 | Christine Michael Lautfy | Chiropractor | 900 S Main St, Suite 110, Corona, CA 92882-3401 | 2014-10-10 |
| 1891135752 | Tarcisio C. Diaz, M.d. A Medical Corporation | Internal Medicine | 900 S Main St, Suite 100, Corona, CA 92882-3401 | 2013-06-25 |
| 1770928962 | Jimmy Ninh Hoang Phan | Pediatrics | 900 S Main St, #108, Corona, CA 92882-3401 | 2013-05-02 |
| 1952606410 | Kayla M. Yinger N.p., Inc. | Nurse Practitioner | 900 S Main St, Suite 102, Corona, CA 92882-3401 | 2011-01-14 |
| 1346379583 | Tarcisio Calibo Diaz | Specialist | 900 S Main St, Suite 100, Corona, CA 92882-3401 | 2007-03-05 |
| 1386749638 | Aspen Medical Group, Inc | Pediatrics | 900 S Main St, Suite 209, Corona, CA 92882-3401 | 2006-09-13 |
| 1689669962 | Rajini Iyer | Obstetrics & Gynecology | 900 S Main St, Ste 102, Corona, CA 92882-3401 | 2005-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116341 | People Providing Training Solutions | Health Educator | 650 S. Main Street Corona Public Library, Corona, CA 92882 | 2019-04-17 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1316431232 | Julia's Care Hospice | Hospice Care, Community Based | 1450 N Sixth St, Ste 117, Corona, CA 92882 | 2018-06-15 |
| 1477060499 | Shilpy Kanda | Physician Assistant | 2250 S Main St Ste 107, Corona, CA 92882 | 2017-12-29 |
| 1831616333 | Cindy Ruiz | Behavioral Analyst | 2868 Briarhaven Ln, Corona, CA 92882 | 2017-08-24 |
| 1366965667 | 3 Vest Medical Transportation Wc LLC | Non-emergency Medical Transport (VAN) | 3256 Rural Lane, Corona, CA 92882 | 2017-07-19 |
| 1477073468 | Adrian Macias I | Counselor | 2275 South Main Street Suite 201 Corona, Ca 92882, Corona, CA 92882 | 2017-06-21 |
| 1699205286 | Sylvia Barrow | Counselor | 2275 South Main Street Suite 201, Corona, CA 92882 | 2017-06-15 |
| 1417348574 | Pensar Medical | Durable Medical Equipment & Medical Supplies | 1269 Pomona Rd Ste 107, Corona, CA 92882 | 2015-02-11 |
| 1215327085 | Anne Maureen Sims | Social Worker | 2275 South Main, #201, Corona, CA 92882 | 2015-01-30 |
| Find all providers in zip 92882 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124290101 | Paul Matthew Mandelin | Radiology | 1280 Corona Pointe Ct, Suite 112, Corona, CA 92879-1770 | 2008-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
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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.