DR. HYUNG TACK KIM (NPI# 1457554123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457554123 |
| Entity Type | Individual |
| Full Name | DR. HYUNG TACK KIM |
| Credential | D.D.S |
| Practice Address |
2681 W Olympic Blvd Ste 220 Los Angeles CA 90006-2883 |
| Mailing Address |
1751 Chantilly Ln Fullerton CA 92833-1289 |
| Practice Telephone | 2132518999 |
| Practice Fax Number | 2132518909 |
| Mailing Telephone | 3108939794 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 55714 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3201 W Olympic Blvd # A, Los Angeles, CA 900062316 | 2132518999 | 2132518909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649654286 | Hyung Joon Kim | Dentist | 1626 Beacon St, Brookline, MA 02446-2201 | 2015-07-14 |
| 1417382821 | Hyung T Kim | General Practice | 11 Crestwood Dr, Saint Louis, MO 63105-3032 | 2013-09-05 |
| 1346569639 | Hyung K Kim | Acupuncturist | 7215 Little River Tnpk, Annandale, VA 22003 | 2010-05-26 |
| 1831347962 | Hyung S Kim X | Pharmacist | 124 Wilmot Rd., Scarsdale, NY 10583-6149 | 2008-09-03 |
| 1992970206 | Hyung J. Kim | Internal Medicine | 471 S Van Ness Ave, San Francisco, CA 94103-3629 | 2008-04-28 |
| 1144408451 | Hyung Kim | Acupuncturist | 1038 Bergen Blvd, Fort Lee, NJ 07024-1655 | 2008-02-08 |
| 1194931329 | Hyung Jik Kim | Acupuncturist | 7002 Moody St, Suite#111-a, La Palma, CA 90623-1180 | 2007-05-15 |
| 1609098540 | Hyung Kim | Radiology | 1200 N. State Street, Rm 3550, Los Angeles, CA 90033 | 2007-05-02 |
| 1932277373 | Hyung Joon Kim | Dentist | 1421 S Caton Ave, Suite 103, Baltimore, MD 21227-1025 | 2006-12-02 |
| 1891792693 | Hyung Kim | Urology | 8635 W 3rd St Ste 1070w, Los Angeles, CA 90048-6137 | 2005-07-07 |
| Street Address |
2681 W OLYMPIC BLVD STE 220 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90006-2883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
| 1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
| 1083192116 | Sanghee Hong | Nurse Practitioner | 2655 W Olympic Blvd Ste 101, Los Angeles, CA 90006 | 2018-07-31 |
| 1134638919 | Joon Hyung Kim | Chiropractor | 3130 W. Olympic Blvd., Suite 350, Los Angeles, CA 90006 | 2017-09-25 |
| 1578082988 | Judy Lee | Behavior Technician | 900 South Serrano Ave #401, Los Angeles, CA 90006 | 2017-09-18 |
| 1689126773 | Seungah Madison Lee | Acupuncturist | 3053 W. Olympic Blvd, #311, Los Angeles, CA 90006 | 2016-10-25 |
| 1790149789 | Kihyun Kim | Acupuncturist | 975 S. Vermont Ave, #201, Los Angeles, CA 90006 | 2016-04-06 |
| 1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
| 1376916817 | Global Eastern Medicine Group | Acupuncturist | 1010 S. Fedora St. #101, Los Angeles, CA 90006 | 2015-11-05 |
| Find all providers in zip 90006 | ||||
| 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 | 90006 |
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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.