KENNETH IM (NPI# 1225661515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225661515 |
Entity Type | Individual |
Full Name | KENNETH IM |
Credential | DPT |
Practice Address |
1313 W 8th St Ste 100 Los Angeles CA 90017-4422 |
Mailing Address |
13425 Beachnutt Ct La Mirada CA 90638-6559 |
Practice Telephone | 2134011970 |
Mailing Telephone | 7142874964 |
Enumeration Date | 2020-02-15 |
Last Update Date | 2020-02-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1313 W 8TH ST STE 100 |
City | LOS ANGELES |
State | CA |
Zip Code | 90017-4422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699867085 | Arturo Carlos Castro | Physician Assistant | 1313 W 8th St Ste 100, Los Angeles, CA 90017-4422 | 2006-09-29 |
1639646862 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 1313 W 8th St Ste 100, Los Angeles, CA 90017-4422 | 2018-10-25 |
1568939791 | American Current Care of California, A Medical Corporation | Clinic/Center | 1313 W 8th St Ste 100, Los Angeles, CA 90017-4422 | 2018-10-25 |
1326514597 | Adam Gyi | Physical Therapist | 1313 W 8th St Ste 100, Los Angeles, CA 90017-4422 | 2018-10-15 |
1538444914 | Jennifer Udeochu | Physical Therapist | 1313 W 8th St Ste 100, Los Angeles, CA 90017-4422 | 2011-10-17 |
1205168713 | Thabet Yosry Kerols | Physical Therapy Assistant | 1313 W 8th St Ste 100, Los Angeles, CA 90017-4422 | 2010-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
Find all providers in zip 90017 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
1659921054 | Nazanin Amini | Physical Therapist | 5450 W Pico Blvd Ste 202, Los Angeles, CA 90019-3997 | 2019-09-17 |
1609393396 | Victory Performance and Physical Therapy | Physical Therapist | 11461 W Washington Blvd Ste 1, Los Angeles, CA 90066-6014 | 2017-08-24 |
1740728112 | Michael Karas | Physical Therapist | 3745 Bagley Ave, Apt. 202, Los Angeles, CA 90034-7404 | 2017-02-06 |
1851776694 | Reliable Emg | Physical Therapist | 3450 Sawtelle Blvd Apt 140, Los Angeles, CA 90066-2163 | 2015-07-22 |
1568866184 | Lauren Freitas | Physical Therapist | 10877 Wilshire Blvd, Ste P1, Los Angeles, CA 90024-4413 | 2014-10-09 |
1700127610 | Julianne Frances Kelman | Physical Therapist | 321 N. Larchmont Blvd. #825, Larchmont Physical Therapy, Los Angeles, CA 90004-6400 | 2013-03-04 |
1760741342 | Kenneth Taik Kim | Physical Therapist | 3301 S Hoover St, Los Angeles, CA 90007-3557 | 2012-05-16 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90017 |
Please comment or provide details below to improve the information on KENNETH IM.
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.