MS. BRINA KIM


Address: 554 E Foothill Blvd Ste 116, San Dimas, CA 91773-1222
Phone: 9095998818

MS. BRINA KIM (NPI# 1417169145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417169145
Entity Type Individual
Full Name MS. BRINA KIM
Practice Address 554 E Foothill Blvd Ste 116
San Dimas
CA 91773-1222
Practice Telephone 9095998818
Practice Fax Number 9095998898
Mailing Telephone 9095998818
Mailing Fax Number 9095998898
Enumeration Date 2007-05-04
Last Update Date 2020-05-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171100000X Acupuncturist 7841 CA Other Service Providers
Y 261QH0100X Clinic/Center
Specialization: Health Service
7841 CA Ambulatory Health Care Facilities

Office Location

Street Address 554 E FOOTHILL BLVD STE 116
City SAN DIMAS
State CA
Zip Code 91773-1222

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NPI Name Taxonomy Address Enumeration
1114533114 Bonita Counseling Center Marriage & Family Therapist 425 W. Bonita Ave., Ste 204, San Dimas, CA 91773 2020-09-16
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1922581560 Readirides, Inc. Non-emergency Medical Transport (VAN) 451 W Bonita Ave Ste 14, San Dimas, CA 91773 2018-09-10
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1548786056 Era Life Care Home Health 1109 W San Bernardino Rd Suite 110, Covina, CA 91773 2017-08-16
1700302569 Melanie Sabrina Schmuck Physical Therapist 1301 West Arrow Highway, Suite 130, San Dimas, CA 91773 2017-08-14
1811410111 Nicole Geraldine Skinner Social Worker 762 W Cypress St, San Dimas, CA 91773 2017-07-19
1245760842 Caren Senn Dietitian, Registered 917 Laramie Drive, San Dimas, CA 91773 2017-06-15
1417485020 Young Mi Kim Acupuncturist 1121 Via Verde, San Dimas, CA 91773 2017-05-25
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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NPI Name Taxonomy Address Enumeration
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1134736705 Boston Medical Center Inc Clinic/Center 960 E Green St Ste 101, Pasadena, CA 91106-2401 2020-09-28
1215541628 Pacific Care II Clinic/Center 1024 Jayhawk Way, Modesto, CA 95358-6714 2020-09-02
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1467074963 Onclick Healthcare Incorporated Clinic/Center 2625 Townsgate Rd Ste 330, Westlake Village, CA 91361-5749 2020-05-07
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Competitor

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City SAN DIMAS
Zip Code 91773

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Dataset Information

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.

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