TIMOTHY MANSOO KIM (NPI# 1326260779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326260779 |
| Entity Type | Individual |
| Full Name | TIMOTHY MANSOO KIM |
| Credential | M.D. |
| Practice Address |
8403 Fallbrook Ave West Hills CA 91304-3226 |
| Mailing Address |
4937 Crown Ave La Canada CA 91011-3621 |
| Practice Telephone | 8187376174 |
| Practice Fax Number | 8187376216 |
| Mailing Telephone | 8187376174 |
| Mailing Fax Number | 8187376216 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
A51246 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295176121 | Timothy Kim | Pharmacist | 162 Wildey, Tarrytown, NY 10591 | 2013-07-08 |
| 1265532477 | Timothy S Kim | Dentist | 1 Lincoln Highway, Suite 6, Edison, NJ 08820 | 2006-09-25 |
| 1609482587 | Timothy Y Kim | Dentist | 3230 Sepulveda Blvd, Torrance, CA 90505-2719 | 2020-09-16 |
| 1982263299 | Timothy Suyong Kim | Student in an Organized Health Care Education/Training Program | 200 Lothrop Street, Office of Education N715 Department of Medicine, Pittsburgh, PA 15213 | 2019-06-10 |
| 1972069276 | Timothy Kim | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-02-12 |
| 1023588324 | Timothy Yushin Kim | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-11-29 |
| 1245725381 | Timothy Kim | Dentist | 1560 W Lacey Blvd Ste 107, Hanford, CA 93230-3587 | 2018-06-29 |
| 1720572399 | Timothy J Kim | Dentist | 1 Kneeland St, Boston, MA 02111-1527 | 2018-06-18 |
| 1003331802 | Timothy Kim | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2017-08-14 |
| 1033645171 | Timothy Kim | Student in an Organized Health Care Education/Training Program | 1430 John Wesley Gilbert Dr, Augusta, GA 30912-0001 | 2017-05-11 |
| Street Address |
8403 FALLBROOK AVE |
| City | WEST HILLS |
| State | CA |
| Zip Code | 91304-3226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659390763 | Unilab Corporation | Clinical Medical Laboratory | 8403 Fallbrook Ave, West Hills, CA 91304-3226 | 2006-07-19 |
| 1043655301 | Suzan Kavusi | Pathology | 8403 Fallbrook Ave, West Hills, CA 91304-3226 | 2013-04-30 |
| 1144587098 | Allen Paul Miraflor | Pathology | 8403 Fallbrook Ave, West Hills, CA 91304-3226 | 2012-04-17 |
| 1124245824 | Alex W Ngo | Pathology | 8403 Fallbrook Ave, West Hills, CA 91304-3226 | 2007-04-20 |
| 1962627380 | Linda Lan-bo Shi | Pathology | 8403 Fallbrook Ave, West Hills, CA 91304-3226 | 2007-04-13 |
| 1003030891 | Fen Yuh Chen | Pathology | 8403 Fallbrook Ave, West Hills, CA 91304-3226 | 2007-04-12 |
| 1528282233 | Yiping Wang | Pathology | 8403 Fallbrook Ave, West Hills, CA 91304-3226 | 2007-04-12 |
| 1669695169 | Brenda Jose Javier | Pathology | 8403 Fallbrook Ave, West Hills, CA 91304-3226 | 2007-04-11 |
| 1730302399 | Lelia Yu | Pathology | 8403 Fallbrook Ave, West Hills, CA 91304-3226 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447860861 | A Plus Rainbow Hospice, Inc. | Hospice Care, Community Based | 8374 Topanga Canyon Blvd Suite 207, Canoga Park, CA 91304 | 2020-08-01 |
| 1447874516 | California Care Wellness Medical Center Inc. | Internal Medicine | 8374 Topanga Canyon Blvd Ste 210, Canoga Park, CA 91304 | 2020-06-03 |
| 1871129288 | Trusted Home Health Care Services | Home Health | 8374 Topanga Blvd, Unit 211, Canoga Park, CA 91304 | 2020-03-17 |
| 1356822951 | Rebecca Richmond | Nurse Practitioner | 8900 De Soto Ave, Canoga Park, CA 91304 | 2018-08-22 |
| 1225553142 | Safety Med Transport Inc. | Non-emergency Medical Transport (VAN) | 8374 Topanga Canyon Blvd Unit 211, Canoga Park, CA 91304 | 2017-08-11 |
| 1487014262 | American Unique Staff Provider | Home Health | 8761 De Soto Ave, Suite 127, Canoga Park, CA 91304 | 2016-03-07 |
| 1013376532 | Salia Ashtiani | Behavioral Analyst | 7624 Royer Avenue, West Hills, CA 91304 | 2016-02-11 |
| 1598156119 | Rita M. Antolin Dds A Professional Corporation | Health Maintenance Organization | 21301a Saticoy Street, Canoga Park, CA 91304 | 2015-02-18 |
| 1609290188 | Jennifer Gonzales Asuncion | Physical Therapist | 8306 Kentland Ave., West Hills, CA 91304 | 2014-02-05 |
| 1174873897 | Norman Carabet | General Practice | 7730 Graystone Dr, West Hills, CA 91304 | 2012-09-11 |
| Find all providers in zip 91304 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385468 | Alfred Lui, M. D., Inc. | Pathology | 23441 Madison St Ste 301b, Torrance, CA 90505-4735 | 2020-08-05 |
| 1174176697 | Francisco Beca | Pathology | 300 Pasteur Dr Bldg 235, Stanford, CA 94305-2200 | 2019-07-23 |
| 1851852750 | Steffan Nicholas Ho | Pathology | 3014 Award Row, San Diego, CA 92122-2231 | 2019-03-26 |
| 1841776358 | Shuo Xu | Pathology | 8700 Beverly Blvd Rm 8725, West Hollywood, CA 90048-1804 | 2018-07-17 |
| 1619489242 | Ania Gheyara | Pathology | 16 Rich Acres Rd, Orinda, CA 94563-1618 | 2017-11-05 |
| 1407229305 | Melissa Conrad Stoppler | Pathology | 922 Aruba Ln, Foster City, CA 94404-3802 | 2015-11-02 |
| 1114303161 | Vincent Hess Stack | Pathology | 2732 Piedmont Ave. #1, Montrose, CA 91020 | 2015-07-31 |
| 1154716975 | Gregory William Charville | Pathology | 300 Pasteur Drive, Room L235, Stanford, CA 94022 | 2015-03-30 |
| 1861885295 | Kenneth Widder | Pathology | 16231 El Camino Real, Rancho Santa Fe, CA 92067 | 2015-03-10 |
| 1316342546 | Eugene Butcher | Pathology | 230 Corte Madera Rd, Portola Valley, CA 94028-7817 | 2014-10-30 |
| Find all providers with the same taxonomy | ||||
| City | WEST HILLS |
| Zip Code | 91304 |
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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.