MICHAEL K. KIM, M.D. (NPI# 1306883277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306883277 |
Entity Type | Organization |
Organization Name | MICHAEL K. KIM, M.D. |
Practice Address |
3801 Katella Ave Suite 414 Los Alamitos CA 90720-3338 |
Practice Telephone | 5624306065 |
Practice Fax Number | 5624306069 |
Mailing Telephone | 5624306065 |
Mailing Fax Number | 5624306069 |
Enumeration Date | 2006-06-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MICHAEL K. KIM (PRESIDENT) |
Authorized Official Telephone | 5624306065 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
A86558 | CA | Allopathic & Osteopathic Physicians |
Street Address |
3801 KATELLA AVE SUITE 414 |
City | LOS ALAMITOS |
State | CA |
Zip Code | 90720-3338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780687319 | Robert Glenn Pugach | Specialist | 3801 Katella Ave, Ste 110, Los Alamitos, CA 90720-3371 | 2005-05-27 |
1376928077 | Wu Pediatrics Corp | Pediatrics | 3801 Katella Ave, Suite 221, Los Alamitos, CA 90720-3338 | 2015-07-23 |
1649676891 | Ali Alex Fouladi Md Inc | Surgery | 3801 Katella Ave, Suite 402, Los Alamitos, CA 90720-3338 | 2014-11-17 |
1215331269 | Mitch Bovy | Optometrist | 3801 Katella Ave, Los Alamitos, CA 90720-3338 | 2014-10-20 |
1972919678 | Los Alamitos Ob-gyn Medical Group, Inc | Obstetrics & Gynecology | 3801 Katella Ave, Los Alamitos, CA 90720-3338 | 2014-07-02 |
1134569429 | Abolhoda Md, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3801 Katella Ave, Suite 207, Los Alamitos, CA 90720-3338 | 2013-07-01 |
1750632253 | Evans Phung Tran | Physician Assistant | 3801 Katella Ave, Suite 110, Los Alamitos, CA 90720-3338 | 2012-09-24 |
1720338015 | Tina M Morris | Physician Assistant | 3801 Katella Ave, Ste. 101, Los Alamitos, CA 90720-3338 | 2012-09-13 |
1023379757 | Ayla Munawar | Pediatrics | 3801 Katella Ave, Ste 221, Los Alamitos, CA 90720-3338 | 2012-05-29 |
1912267774 | Lori A Hallett Audiology PC | Audiologist-Hearing Aid Fitter | 3801 Katella Ave, Los Alamitos, CA 90720-3338 | 2012-05-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
Find all providers in zip 90720 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508164500 | Dr. Sasha Maher D.o. | Otolaryngology | 10861 Cherry St Ste 106, Los Alamitos, CA 90720-5403 | 2011-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114550498 | Hootan Zandifar Md Inc | Otolaryngology | 8920 Wilshire Blvd Ste 604, Beverly Hills, CA 90211-2006 | 2020-02-14 |
1548751183 | Farhad Ardesh Md Inc | Otolaryngology | 11620 Wilshire Blvd Ste 280, Los Angeles, CA 90025-1263 | 2018-05-18 |
1174943377 | Sunny Park Md, Inc | Otolaryngology | 901 Dover Dr Ste 126, Newport Beach, CA 92660-5546 | 2014-04-26 |
1154743987 | Keith Jay Wahl | Otolaryngology | 8735 Nottingham Pl, La Jolla, CA 92037-2129 | 2014-01-14 |
1295179570 | Ari Joseph Hyman | Otolaryngology | 16311 Ventura Blvd Ste 600, Encino, CA 91436-2134 | 2013-04-17 |
1710229893 | Zachary Calnan Fridirici | Otolaryngology | 2233 Post St Fl 3, San Francisco, CA 94115 | 2013-03-26 |
1376883975 | Su Mai | Otolaryngology | 13071 Brookhurst St Ste 150, Garden Grove, CA 92843-1024 | 2013-02-20 |
1710244892 | Meaghan Noud | Otolaryngology | 421 Post St Fl 14, San Francisco, CA 94102 | 2012-04-13 |
1871804187 | Edwin E Breitenbach | Otolaryngology | 2601 Augusta, Tustin, CA 92782-1201 | 2010-07-01 |
1467780270 | Robert O Ruder M D A Professional Corporation | Otolaryngology | 8816 Burton Way Fl 1, Beverly Hills, CA 90211-1715 | 2009-12-07 |
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City | LOS ALAMITOS |
Zip Code | 90720 |
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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.