DR. BRYAN BUMSOO KIM (NPI# 1417014655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417014655 |
| Entity Type | Individual |
| Full Name | DR. BRYAN BUMSOO KIM |
| Other Name | DR. BUMSOO KIM |
| Credential | D.M.D. |
| Practice Address |
3030 W 8th St #305 Los Angeles CA 90005-1812 |
| Mailing Address |
3030 W. 8th St. #305 Los Angeles CA 90005 |
| Practice Telephone | 2133890937 |
| Practice Fax Number | 2133891937 |
| Mailing Telephone | 2133890937 |
| Mailing Fax Number | 2133891937 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 32333 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | UNITED CONCORDIA | 260891 | 01 |
| CA | DELTA HEALTHY FAMILY | B32333-01 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215490495 | Bryan S Kim | Student in an Organized Health Care Education/Training Program | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2019-04-13 |
| 1962893255 | Bryan Kim | Dentist | 2983 Chino Ave Ste A5, Chino Hills, CA 91709-3576 | 2015-02-09 |
| 1700291945 | Bryan Kim | Emergency Medicine | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2014-06-26 |
| 1487946802 | Bryan Kim | Ophthalmology | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2011-05-03 |
| 1326215039 | Bryan M Kim | Ophthalmology | 8901 W. Golf Rd, Suite 206, Des Plaines, IL 60016 | 2008-05-12 |
| 1275671414 | Bryan Kim | Internal Medicine | 2825 E. Barnett Rd, Npi, Medford, OR 97504 | 2007-02-01 |
| Street Address |
3030 W 8TH ST #305 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90005-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457599656 | Sangmoo Lee | Dentist | 3030 W 8th St, #305, Los Angeles, CA 90005-1887 | 2009-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964680 | Hong Il Kim | Dentist | 610 South Havard Blvd, 101, Los Angeles, CA 90005 | 2020-02-13 |
| 1467929265 | Galina Vardanyan | Optometrist | 621 S Western Ave Ste 214, Los Angeles, CA 90005 | 2018-10-30 |
| 1740761642 | Kyung Sook Chung | Acupuncturist | 603 S Mariposa Ave #102, Los Angeles, CA 90005 | 2018-08-28 |
| 1891274155 | Chinese Healing Arts, Inc | Acupuncturist | 2837 Hyperion Ave, Los Angeles, CA 90005 | 2018-08-08 |
| 1992298624 | Hak S. Choi Dds Inc | Dentist | 680 Wilshire Pl Ste 314, Los Angeles, CA 90005 | 2018-06-07 |
| 1891287918 | Marlene Sanchez Torres | Counselor | 679 S New Hampshire Ave # 400, Los Angeles, CA 90005 | 2018-06-04 |
| 1255828562 | Arianna Houriani | Student in an Organized Health Care Education/Training Program | 714 S Plymouth Blvd, Los Angeles, CA 90005 | 2018-04-23 |
| 1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
| 1255859385 | Tiany Siao Tian So | Dietitian, Registered | 740 S St Andrew Pl, Apt 15, Los Angeles, CA 90005 | 2017-09-08 |
| 1962931246 | Jooyong Shin | Acupuncturist | 400 S Western Ave #203, Los Angeles, CA 90005 | 2017-06-08 |
| Find all providers in zip 90005 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1134729601 | Enas Tayyem | Dentist | 2100 N Beachwood Dr Apt 303, Los Angeles, CA 90068-3442 | 2020-10-26 |
| 1639776073 | Stephanie Jeanne Bauman | Dentist | 3060 W Olympic Blvd Apt 438, Los Angeles, CA 90006-3838 | 2020-10-08 |
| 1316544570 | Azzah Widatalla | Dentist | 5455 Wilshire Blvd Ste 850, Los Angeles, CA 90036-4234 | 2020-10-01 |
| 1104433796 | Irena Starchenko | Dentist | 2007 Wilshire Blvd Ste 525, Los Angeles, CA 90057-3518 | 2020-09-28 |
| 1134734353 | Mark Park | Dentist | 404 Shatto Pl Apt 443, Los Angeles, CA 90020-1739 | 2020-09-14 |
| 1740895150 | Chantelle Aabedi | Dentist | 2711 Casiano Rd, Los Angeles, CA 90077-9007 | 2020-09-11 |
| 1801401542 | Yojeong Cho | Dentist | 621 S Western Ave Ste 201, Los Angeles, CA 90005-3042 | 2020-09-10 |
| 1518572247 | William Hwang | Dentist | 2727 W Olympic Blvd Ste 311, Los Angeles, CA 90006-2699 | 2020-09-10 |
| 1912511056 | Shervin Moshashaei | Dentist | 1420 Peerless Pl Apt 212, Los Angeles, CA 90035-2869 | 2020-09-05 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90005 |
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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.