DEISY KIM (NPI# 1336790203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336790203 |
| Entity Type | Individual |
| Full Name | DEISY KIM |
| Other Name | DEISY HERNANDEZ CRISTOBAL |
| Practice Address |
1200 Wilshire Blvd Ste 300 Los Angeles CA 90017-1931 |
| Practice Telephone | 2134817464 |
| Practice Fax Number | 2134817147 |
| Mailing Telephone | 2134817464 |
| Mailing Fax Number | 2134817147 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
APCC6763 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1200 WILSHIRE BLVD STE 300 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346434818 | Erica Irene Schaecher | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2007-08-28 |
| 1124631825 | Amy Pedroza | Social Worker | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2020-08-24 |
| 1750927729 | Alejandro Sigala | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-11-25 |
| 1538713508 | Yesenia Gutierrez | Case Manager/Care Coordinator | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-07-29 |
| 1043872906 | Gentiane Tc Toto | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-07-01 |
| 1215597711 | Natasha Aftandilians | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-06-17 |
| 1982269726 | Bryant Soto | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017 | 2019-05-07 |
| 1124580923 | Gabriela Licea | Case Manager/Care Coordinator | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-04-02 |
| 1679033856 | Christina Paulina Briones | Social Worker | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-03-22 |
| 1235698689 | Sara E Heinemann | Marriage & Family Therapist | 1200 Wilshire Blvd Ste 300, Los Angeles, CA 90017-1931 | 2019-03-15 |
| Find all providers in the same location | ||||
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061624 | Elysian Psychology Inc | Counselor | 10250 Constellation Blvd, Los Angeles, CA 90067-6200 | 2020-04-15 |
| 1912530528 | Nicole Yvette Sheppard | Counselor | 1135 S Beverly Dr Ste A, Los Angeles, CA 90035-1193 | 2020-02-21 |
| 1376190645 | Avraham Dovid Meshchaninov | Counselor | 8881 W Pico Blvd Ste 1, Los Angeles, CA 90035-3336 | 2019-08-21 |
| 1063071652 | Cherae Nikia Stovall | Counselor | 1704 Manchester Boulevard, Suite 202, Los Angeles, CA 90047 | 2019-06-07 |
| 1730688391 | Total Care Management Services, Inc | Counselor | 10801 National Blvd Ste 253, Los Angeles, CA 90064-4178 | 2018-02-08 |
| 1255846200 | Jill Caller Kapenstein | Counselor | 6221 Wilshire Blvd Ste 518, Los Angeles, CA 90048-5223 | 2017-12-12 |
| 1982089959 | Judith Rinda Crane | Counselor | 2959 S Sepulveda Blvd, Los Angeles, CA 90064-3912 | 2015-07-20 |
| 1497152995 | Lisa Maznio | Counselor | 1400 N Martel Ave Apt 202, Los Angeles, CA 90046 | 2014-11-26 |
| 1851793483 | Leslie Rith-najarian | Counselor | John Wooden Center West, 221 Westwood Plaza, Counseling and Psychological Services, Los Angeles, CA 90095 | 2014-09-26 |
| 1902206394 | David Richardson IIi | Counselor | 2205 S Bentley Ave, Apt 102, Los Angeles, CA 90064-1978 | 2014-09-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on DEISY 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.