KYOUNG AE KIM (NPI# 1477882215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477882215 |
| Entity Type | Individual |
| Full Name | KYOUNG AE KIM |
| Credential | MD |
| Practice Address |
1211 W La Palma Ave Suite 207 Anaheim CA 92801-2815 |
| Practice Telephone | 7147728282 |
| Practice Fax Number | 7147726493 |
| Mailing Telephone | 7147728282 |
| Mailing Fax Number | 7147726493 |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2010-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A110263 | CA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | A110263 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A1102630 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700135480 | Kyoung Hwan Kim | Acupuncturist | 7901 Greentree Rd, Bethesda, MD 20817-1301 | 2012-09-10 |
| 1801971478 | Kyoung Chol Kim | Surgery | 2970 W Olympic Blvd, Suite 204 & 205, Los Angeles, CA 90006-2518 | 2006-10-25 |
| 1699864959 | Kyoung S Kim | Internal Medicine | 169 North Plank Road, Newburgh, NY 12550 | 2006-10-12 |
| 1588775191 | Kyoung Jin Kim | Obstetrics & Gynecology | 4212 N 16th St, Phoenix, AZ 85016-5319 | 2006-08-31 |
| Street Address |
1211 W LA PALMA AVE SUITE 207 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92801-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124024104 | Manilal B Mehta | Urology | 1211 W La Palma Ave, Ste 502, Anaheim, CA 92801-2812 | 2005-06-23 |
| 1972155430 | Marie Anna Salazar | Nurse Practitioner | 1211 W La Palma Ave, Anaheim, CA 92801-2815 | 2019-07-15 |
| 1376041129 | Abigail Ayad Makary | Nurse Practitioner | 1211 W La Palma Ave, Anaheim, CA 92801-2815 | 2018-01-26 |
| 1982153037 | Theresa Lynn Simmons | Nurse Practitioner | 1211 W La Palma Ave, 207, Anaheim, CA 92801-2815 | 2016-09-30 |
| 1548638596 | Iv for Life | Clinic/Center | 1211 W La Palma Ave, Suite 309, Anaheim, CA 92801-2815 | 2015-09-08 |
| 1801287156 | David Holstein, Md, Inc | Psychiatry & Neurology | 1211 W La Palma Ave, Suite 608, Anaheim, CA 92801-2815 | 2015-02-09 |
| 1770996076 | Hiwot Watiro | Nurse Practitioner | 1211 W La Palma Ave, Suite 702, Anaheim, CA 92801-2815 | 2014-06-04 |
| 1245654433 | Gurleen Jamarai M.d Inc | Internal Medicine | 1211 W La Palma Ave, Suite 503, Anaheim, CA 92801-2815 | 2014-02-10 |
| 1689019127 | Celyne Thao Phung | Internal Medicine | 1211 W La Palma Ave, Suite 207, Anaheim, CA 92801-2810 | 2013-05-09 |
| 1760721310 | Khemka and Khemka M.d., Inc. | Internal Medicine | 1211 W La Palma Ave, Suite 410, Anaheim, CA 92801-2863 | 2013-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178996 | Megalink Staffing Services Corp. | Non-emergency Medical Transport (VAN) | 780 N. Euclid St., Suite 207, Anaheim, CA 92801 | 2020-03-04 |
| 1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
| 1922523257 | Enrique Esparza Jr. | Peer Specialist | 501 North Brookhurst Street, Anahiem, CA 92801 | 2017-08-08 |
| 1336689405 | Lan P. Tran | Pharmacist | 2308 W Huntington Ave, Anaheim, CA 92801 | 2017-03-08 |
| 1982065447 | Giselle Magdaleno | Marriage & Family Therapist | 505 N Euclid St #300, Anaheim, CA 92801 | 2016-03-11 |
| 1346605433 | Esther Chong | Nurse Practitioner | 710 N. Euclid St., 400, Anaheim, CA 92801 | 2015-12-16 |
| 1629441183 | Caremore Health Plan | Nurse Practitioner | 1182 N. Euclid Street, Anaheim, CA 92801 | 2015-11-05 |
| 1205208451 | Uyen Diem Ngo | Pharmacist | 1188 N. Euclid St., Anaheim, CA 92801 | 2015-10-28 |
| 1962873729 | Herb and Acu | Acupuncturist | 1737 W. Romneya Dr., Anaheim, CA 92801 | 2015-10-19 |
| 1437535721 | Yessenia Alvarado | Marriage & Family Therapist | 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 | 2015-08-10 |
| Find all providers in zip 92801 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407493166 | Luminary Healthcare, Inc. | Internal Medicine | 721 N Euclid St Ste 100, Anaheim, CA 92801-4116 | 2019-12-02 |
| 1083267736 | Access Primary Care Physicians, Inc. | Internal Medicine | 1168 N Euclid St, Anaheim, CA 92801-1900 | 2019-07-22 |
| 1679069298 | My Md Inc | Internal Medicine | 1211 W La Palma Ave Ste 503, Anaheim, CA 92801-2812 | 2018-07-06 |
| 1932565637 | Michael Caberto | Internal Medicine | 2040 S Santa Cruz St Ste 215, Anaheim, CA 92805-6821 | 2016-01-11 |
| 1710382189 | Anooshiravan Hami, M.d., Corp | Internal Medicine | 3400 W. Ball Road, Suite 207, Anaheim, CA 92804-3737 | 2014-10-28 |
| 1003255837 | Richard Eugene Hughes | Internal Medicine | 1300 N. Kraemer Blvd., Anaheim, CA 92806 | 2013-06-14 |
| 1013278449 | Elizabeth Tioleco Cheng | Internal Medicine | 5505 E. Santa Ana Canyon Road, Anaheim, CA 92817-7098 | 2012-06-01 |
| 1306139035 | Shaiquel Arefin Jilani | Internal Medicine | 136 S Linhaven Cir, Anaheim, CA 92804-2474 | 2011-05-27 |
| 1245533926 | Janet L Schreiber Md A Medical Corporation | Internal Medicine | 3010 W. Orange Ave, #503, Anaheim, CA 92804-3174 | 2010-12-17 |
| 1912217720 | Sharon Sarah Herdan | Internal Medicine | 205 S Festival Dr Apt 201, Anaheim, CA 92808-1127 | 2010-10-14 |
| Find all providers in ANAHEIM | ||||
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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.