JIM KIM (NPI# 1174602817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174602817 |
| Entity Type | Individual |
| Full Name | JIM KIM |
| Credential | M.D. |
| Practice Address |
1516 San Pablo St Fl 2 Los Angeles CA 90033-5313 |
| Mailing Address |
Po Box 31309 Los Angeles CA 90031-0309 |
| Practice Telephone | 3234425908 |
| Mailing Telephone | 3234425908 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | A86557 | CA | Allopathic & Osteopathic Physicians |
| N | 204F00000X | Transplant Surgery | 263904 | NY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 53104-020 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 520 E 70th St, Starr Pavilion, 8th Floor, New York, NY 100219800 | 2127465330 | 2127468720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992762769 | Jim C Kim | Internal Medicine | 2203 17th St, Bakersfield, CA 93301-3634 | 2006-04-27 |
| Street Address |
1516 SAN PABLO ST FL 2 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-5313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942246111 | Hamid Shidban | Transplant Surgery | 1516 San Pablo St Fl 2, Los Angeles, CA 90033-5313 | 2006-06-22 |
| 1942826169 | Joy F Liu | Dietitian, Registered | 1516 San Pablo St Fl 2, Los Angeles, CA 90033-5313 | 2020-06-23 |
| 1982240206 | Lydia Jeanne Gomez | Nurse Practitioner | 1516 San Pablo St Fl 2, Los Angeles, CA 90033-5313 | 2019-11-21 |
| 1205480449 | Samantha Ramirez | Nurse Practitioner | 1516 San Pablo St Fl 2, Los Angeles, CA 90033-5313 | 2019-07-25 |
| 1295275576 | Bich Lieu Thi Duong | Nurse Practitioner | 1516 San Pablo St Fl 2, Los Angeles, CA 90033-5313 | 2017-03-06 |
| 1760926059 | Brenda Han | Nurse Practitioner | 1516 San Pablo St Fl 2, Los Angeles, CA 90033-5313 | 2016-12-06 |
| 1891169207 | Bryan A. Paredes | Nurse Practitioner | 1516 San Pablo St Fl 2, Los Angeles, CA 90033-5313 | 2015-11-23 |
| 1205209285 | Dung Quoc Truong | Nurse Practitioner | 1516 San Pablo St Fl 2, Los Angeles, CA 90033 | 2015-11-12 |
| 1275828246 | Shannon Maria Zielsdorf | Transplant Surgery | 1516 San Pablo St Fl 2, Los Angeles, CA 90033-5313 | 2011-06-17 |
| 1629374020 | Kambiz Etesami | Transplant Surgery | 1516 San Pablo St Fl 2, Los Angeles, CA 90033-5313 | 2011-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720008899 | Sammy Saab | Transplant Surgery | 200 Medical Plaza Suite 214, Los Angeles, CA 90095-0001 | 2006-07-20 |
| 1841218880 | Steven-huy Bui Han | Transplant Surgery | 200 Medical Plz Suite 214, Los Angeles, CA 90095-0001 | 2006-07-17 |
| 1851326821 | Hasan Yersiz | Transplant Surgery | 757 Westwood Plz Ste 8501, Los Angeles, CA 90095-3075 | 2006-07-11 |
| 1225064538 | Yuri S. Genyk | Transplant Surgery | 1516 San Pablo St Ste 200, Los Angeles, CA 90033-5313 | 2006-06-26 |
| 1942246111 | Hamid Shidban | Transplant Surgery | 1516 San Pablo St Fl 2, Los Angeles, CA 90033-5313 | 2006-06-22 |
| 1407839681 | Myron John Tong | Transplant Surgery | 200 Ucla Medical Plz Ste 214, Los Angeles, CA 90095-0001 | 2005-11-22 |
| 1982238267 | Jennifer Li | Transplant Surgery | 200 Medical Plaza Suite 214, Los Angeles, CA 90095-0001 | 2020-02-26 |
| 1598149239 | Rashmi Seth | Transplant Surgery | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2015-07-13 |
| 1639503386 | Andrew Perry | Transplant Surgery | 10833 Le Conte Ave, Los Angeles, CA 90095 | 2013-08-29 |
| 1083056089 | Harvey Shi-hsien Chen | Transplant Surgery | 200 Medical Plaza Suite 214, Los Angeles, CA 90095-0001 | 2013-07-19 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
Please comment or provide details below to improve the information on JIM 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.