MIN JUNG KIM (NPI# 1396139630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396139630 |
| Entity Type | Individual |
| Full Name | MIN JUNG KIM |
| Credential | M.D. |
| Practice Address |
450 Bauchet St. Room E873 Los Angeles CA 90012 |
| Practice Telephone | 2138935470 |
| Practice Fax Number | 2133469851 |
| Mailing Telephone | 2138935470 |
| Mailing Fax Number | 2133469851 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A40796 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528449873 | Min Soo Kim | Dentist | 2701 N Dirksen Pkwy, Springfield, IL 62702-1407 | 2015-06-12 |
| 1437490505 | Min Kim | Student in an Organized Health Care Education/Training Program | 1813 Spruce St, Apt 2f, Philadelphia, PA 19103-5806 | 2013-03-14 |
| 1376894436 | Min Kim | Pharmacist | 5005n Piedras St, 4008, El Paso, TX 79912 | 2012-09-28 |
| 1497028674 | Min Jung Kim | Chiropractor | 907 Aylesbury Dr, Allen, TX 75002-5745 | 2012-02-17 |
| 1629380936 | Min S Kim | Dentist | 7250 S Durango Dr Ste 110, Las Vegas, NV 89113-2221 | 2010-07-02 |
| 1669600896 | Min Kyu Kim | Dentist | 8035 S Rainbow Blvd # 102, Las Vegas, NV 89139 | 2009-06-25 |
| 1750566857 | Min Jeong Kim | Optometrist | 733 Manhattan Ave, Brooklyn, NY 11222-2944 | 2008-01-08 |
| 1912107194 | Min C. Kim | Dentist | 4270 Gorgas Circle, Fort Sam Houston, TX 78234-2639 | 2007-07-25 |
| 1861609240 | Min Kyung Kim | Acupuncturist | 1418 S Euclid St, Fullerton, CA 92832-3135 | 2007-05-17 |
| 1295833192 | Min Cheol Kim | Ophthalmology | 14155 North 83rd Avenue, Suite 1103, Peoria, AZ 85381 | 2006-09-21 |
| Street Address |
450 BAUCHET ST. ROOM E873 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538298039 | Julie Ann Dalmau | Nurse Practitioner | 450 Bauchet St., Los Angeles County Sheriff Department Msb/psa Rm., E873, Los Angeles, CA 90012 | 2007-03-02 |
| 1326423518 | Matthew Conway Bumpass | Counselor | 450 Bauchet St., Los Angeles, CA 90012 | 2015-07-29 |
| 1720233547 | Yeehang Evon Chow | Social Worker | 450 Bauchet St., Mental Health Department, Los Angeles, CA 90012-2906 | 2008-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654124 | Los Angeles County Children and Families First - Proposition 10 Commis | Case Management | 750 N. Alameda Street, Suite 300, Los Angeles, CA 90012 | 2018-06-26 |
| 1750886511 | Pain Control Clinic | Acupuncturist | 321 E. 1st St. #220, Los Angeles, CA 90012 | 2018-03-26 |
| 1891224325 | Brenda D Sazo | Community Health Worker | 1000 N. Alameda St, # 350, Los Angeles, CA 90012 | 2017-06-08 |
| 1740719012 | Fatemeh Arabpour | Dentist | 505 N Figueroa Apt #534, Los Angeles, CA 90012 | 2017-06-08 |
| 1033667662 | Olga Witrago | Case Manager/Care Coordinator | 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 | 2016-09-12 |
| 1902269962 | Samantha Martinez | Licensed Practical Nurse | 701 West Cesar Chavez Av, Los Angeles, CA 90012 | 2016-03-29 |
| 1760847313 | Maria Emilia Manosa Rosales | Social Worker | 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 | 2015-12-28 |
| 1609242999 | Hilary Adams | Psychologist | 250 E 1st St Ste 300, Los Angeles, CA 90012 | 2015-08-20 |
| 1831586288 | Thanh Ngoc Nguyen Trinh | Nurse Practitioner | 180 N Los Angeles St, Los Angeles, CA 90012 | 2015-04-23 |
| 1760880827 | Bertha Regina Garcia | Licensed Vocational Nurse | 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 | 2014-12-05 |
| Find all providers in zip 90012 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1376159939 | Margarette Morney-kuanyawo | Family Medicine | 515 S Fuller Ave, Los Angeles, CA 90036-3244 | 2020-09-18 |
| 1780207803 | Julia Solis | Family Medicine | 1414 S Grand Ave Ste 200&380, Los Angeles, CA 90015-3067 | 2020-05-22 |
| 1033739578 | Now Medical | Family Medicine | 1333 S Hill St, Los Angeles, CA 90015-3012 | 2020-04-24 |
| 1710514930 | Los Angeles Medical Center Foundation | Family Medicine | 2010 Wilshire Blvd Fl 2, Los Angeles, CA 90057-3507 | 2020-03-26 |
| 1740817212 | Quality Medical Group Inc | Family Medicine | 5230 Pacific Concourse Dr Ste 110, Los Angeles, CA 90045-6258 | 2020-03-25 |
| 1760012108 | Majid Sabour Md. PC. | Family Medicine | 1125 S Beverly Dr Ste 420, Los Angeles, CA 90035-1191 | 2020-01-24 |
| 1164061461 | Sequoia Quality Health Inc | Family Medicine | 2007 Wilshire Blvd Fl 3, Los Angeles, CA 90057-3519 | 2020-01-03 |
| 1437792447 | Northeast Community Clinic | Family Medicine | 1414 S Grand Ave Ste 300, Los Angeles, CA 90015-3072 | 2019-10-22 |
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90012 |
Please comment or provide details below to improve the information on MIN JUNG 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.