JUNG YUN KIM (NPI# 1194125807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194125807 |
| Entity Type | Individual |
| Full Name | JUNG YUN KIM |
| Credential | NP |
| Practice Address |
10000 Lakewood Blvd Downey CA 90240-4020 |
| Practice Telephone | 5628623684 |
| Mailing Telephone | 5628623684 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95001064 | CA | Physician Assistants & Advanced Practice Nursing 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 |
10000 LAKEWOOD BLVD |
| City | DOWNEY |
| State | CA |
| Zip Code | 90240-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740233808 | Balu Gadhe | Internal Medicine | 10000 Lakewood Blvd, Downey, CA 90240-4020 | 2006-05-18 |
| 1265942858 | Najam Parvez Iqbal | Nurse Practitioner | 10000 Lakewood Blvd, Downey, CA 90240-4020 | 2017-10-09 |
| 1295254191 | Sergio Hernandez | Nurse Practitioner | 10000 Lakewood Blvd, Downey, CA 90240-4020 | 2017-09-12 |
| 1801316591 | Jennifer Corcuera | Nurse Practitioner | 10000 Lakewood Blvd, Downey, CA 90240-4020 | 2017-06-22 |
| 1376083329 | Ivy W. Lin Optometry, Inc. | Optometrist | 10000 Lakewood Blvd, Downey, CA 90240-4020 | 2017-02-24 |
| 1124566724 | Roggielyz Yosores Padilla | Nurse Practitioner | 10000 Lakewood Blvd, Downey, CA 90240 | 2017-02-03 |
| 1801254842 | Angela S Raykowski | Dietitian, Registered | 10000 Lakewood Blvd, Downey, CA 90240-4020 | 2016-02-04 |
| 1467824482 | Caremore Health Plan | Nurse Practitioner | 10000 Lakewood Blvd, Downey, CA 90240-4020 | 2015-10-29 |
| 1144605015 | Ivan R Cruz | Nurse Practitioner | 10000 Lakewood Blvd, Downey, CA 90240-4020 | 2015-07-21 |
| 1376920231 | Edward Peng Xu | Internal Medicine | 10000 Lakewood Blvd, Downey, CA 90240-4020 | 2015-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760944227 | Vida Wholeness Family Therapy | Social Worker | 8050 Florence Ave Ste 32, Downey, CA 90240 | 2019-04-03 |
| 1962992396 | Jillian Rose Stone | Physician Assistant | 8301 Florence Ave Ste 104, Downey, CA 90240 | 2018-05-10 |
| 1033643291 | Carmen Teresa Sanchez | Student in an Organized Health Care Education/Training Program | 8525 Paramount Blvd #222, Downey, CA 90240 | 2017-04-14 |
| 1316360969 | V. Charles Charuvastra, Md, Inc | Psychiatry & Neurology | 8301 Florence Ave Ste 304, Downey, CA 90240 | 2014-01-31 |
| 1689930596 | Center for Discovery & Adolescent Change | Psychiatric Residential Treatment Facility | 9844 Pangborn Avenue, Downey, CA 90240 | 2012-04-04 |
| 1003111386 | Maria Del Carmen Bernal | Marriage & Family Therapist | 9901 Paramount Blvd Suite 250, Downey, CA 90240 | 2011-01-18 |
| 1609060987 | Los Angeles County Department of Mental Health | Case Management | 8553 Raviller Drive, Downey, CA 90240 | 2007-08-30 |
| 1912190299 | Esther Alonso Rosario | General Practice | 7343 Hannon St, Downey, CA 90240 | 2007-08-21 |
| 1265550719 | Dawn Delgado | Marriage & Family Therapist | 9844 Pangborn Ave, Downey, CA 90240 | 2007-03-26 |
| 1659496701 | Green Nova Acupuncture Clinic | Acupuncturist | 9942 Lakewood Blvd, Downey, CA 90240 | 2007-03-20 |
| Find all providers in zip 90240 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593916 | Janice Marie Astilla | Nurse Practitioner | 11411 Brookshire Ave Ste 302, Downey, CA 90241-5005 | 2019-08-11 |
| 1912481300 | Christian Yeoj Sison | Nurse Practitioner | 8142 Firestone Blvd, Downey, CA 90241-4231 | 2018-09-20 |
| 1922554153 | Lailannie Lim Vito | Nurse Practitioner | 9449 Imperial Hwy, Room 329, Downey, CA 90242-2814 | 2016-08-28 |
| 1154532471 | Terry Alberta Starr | Nurse Practitioner | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
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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.