DR. DONG H KIM (NPI# 1457633919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457633919 |
| Entity Type | Individual |
| Full Name | DR. DONG H KIM |
| Credential | MD |
| Practice Address |
4241 Long Beach Blvd Rad-image Medical Group Inc. Long Beach CA 90807-2003 |
| Practice Telephone | 5629122507 |
| Practice Fax Number | 4849182507 |
| Mailing Telephone | 5629122507 |
| Mailing Fax Number | 4849182507 |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2013-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A112453 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1457633919 | 05 | |
| CA | BLUE SHIELD OF CA | 00A1124530 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578819595 | Dong Kyu Kim | Surgery | 118 Foxwood Dr, Jericho, NY 11753-1116 | 2012-07-27 |
| 1447577333 | Dong Hyun Kim | Anesthesiology | 2593 Woodland Dr, Ogden, UT 84403-5111 | 2010-05-01 |
| 1003006826 | Dong S Kim | Acupuncturist | 23300 Cinema Dr Ste 240, Valencia, CA 91355-1776 | 2007-07-27 |
| 1588875116 | Dong Jin Kim | Dentist | 69420 Ramon Rd, Cathedral City, CA 92234-3349 | 2007-05-25 |
| 1821203282 | Dong M Kim | Dentist | 1055 S Alvarado St, Los Angeles, CA 90006-3711 | 2007-05-11 |
| 1679694293 | Dong Won Kim | Dentist | 133 Market St, Lowell, MA 01852-1808 | 2007-04-02 |
| 1962538728 | Dong Kim | Chiropractor | 1111 N. Brand Blvd., 402, Glendale, CA 91202-3071 | 2007-02-26 |
| 1659414159 | Dong O Kim | Acupuncturist | 201 S. Alvarado St., Suite #609, Los Angeles, CA 90057-2320 | 2007-02-14 |
| 1225198021 | Dong Ho Kim | Dentist | 15072 Rosecrans Ave, La Mirada, CA 90638-4740 | 2006-12-11 |
| 1003870437 | Dong K Kim | Dentist | 1757 W Carson St, Suite E, Torrance, CA 90501-2837 | 2006-04-13 |
| Street Address |
4241 LONG BEACH BLVD RAD-IMAGE MEDICAL GROUP INC. |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124000757 | Kourosh Nourisamie | Radiology | 4241 Long Beach Blvd, Long Beach, CA 90807-2003 | 2005-11-18 |
| 1225340961 | Charlton Byun | Radiology | 4241 Long Beach Blvd, Rad-image Medical Group Inc., Long Beach, CA 90807 | 2010-07-10 |
| 1326269630 | Hiawatha Harris, Corporation | Counselor | 4241 Long Beach Blvd, Long Beach, CA 90807-2003 | 2007-05-02 |
| 1336125020 | Gabriel F Ramirez | Radiology | 4241 Long Beach Blvd, Rad-image Medical Group Inc., Long Beach, CA 90807-2003 | 2005-12-15 |
| 1518941624 | James Y Hyun | Radiology | 4241 Long Beach Blvd, Rad-image Medical Group Inc., Long Beach, CA 90807-2003 | 2005-12-01 |
| 1790769891 | Bach T Vu | Radiology | 4241 Long Beach Blvd, Rad-image Medical Group, Long Beach, CA 90807-2003 | 2005-12-01 |
| 1891778379 | Cynthia J Lloyd | Radiology | 4241 Long Beach Blvd, Rad-image Medical Group Inc., Long Beach, CA 90807-2003 | 2005-11-29 |
| 1154304640 | Darissa S Kon | Radiology | 4241 Long Beach Blvd, Rad-image Medical Group Inc., Long Beach, CA 90807-2003 | 2005-11-29 |
| 1073596573 | Timothy V Bell | Radiology | 4241 Long Beach Blvd, Rad-image Medical Group Inc., Long Beach, CA 90807-2003 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649815903 | United Medical Radiology Network, Inc | Radiology | 2600 Redondo Ave # 101, Long Beach, CA 90806-2325 | 2019-11-11 |
| 1689221103 | Los Alamitos Radiology Group Inc | Radiology | 3747 Worsham Ave Ste 200, Long Beach, CA 90808-1734 | 2019-08-20 |
| 1679901656 | Alan Brooks | Radiology | 204 Prospect Ave, Long Beach, CA 90803-1617 | 2013-10-29 |
| 1669814273 | Sun Imaging Associates Plc | Radiology | 3342 Terrace Ridge Ln, Long Beach, CA 90804-1203 | 2013-07-24 |
| 1760823819 | Carleton Allen A Professional Medical Corporation | Radiology | 300 W Ocean Blvd, Suite 6806, Long Beach, CA 90802-7954 | 2013-07-17 |
| 1245587070 | Southland Neurologic Associates | Radiology | 3747 Worsam Ave, #100, Long Beach, CA 90808-1774 | 2012-08-10 |
| 1578827697 | Christine A Khong-mcbride | Radiology | 1333 Chestnut Ave., Radiology Dept Room 23, Long Beach, CA 90813 | 2012-07-03 |
| 1851664932 | Samuel Louis Fenichel | Radiology | 5203 S. Marina Pacifica Dr, Long Beach, CA 90803 | 2012-02-20 |
| 1538208574 | Stephen B Haltom | Radiology | 1025 El Mirador Ave, Long Beach, CA 90815-4420 | 2007-02-06 |
| 1154346336 | Carol Manning | Radiology | 3320 N Los Coyotes Diagonal, Suite 120, 112 & 260, Long Beach, CA 90808-3918 | 2006-07-12 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
Please comment or provide details below to improve the information on DR. DONG H 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.