DR. ELLEN HYUN JU KIM (NPI# 1548331564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548331564 |
| Entity Type | Individual |
| Full Name | DR. ELLEN HYUN JU KIM |
| Credential | DO |
| Practice Address |
2329 East Huntington Drive Duarte CA 91010 |
| Practice Telephone | 6263574600 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2OA7422 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124024229 | Ellen M Kim | Internal Medicine | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2005-06-23 |
| 1275161879 | Ellen Kim | Student in an Organized Health Care Education/Training Program | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2020-03-30 |
| 1265982821 | Ellen Kim | Occupational Therapist | 8135 Painter Ave Ste 200, Whittier, CA 90602-3168 | 2016-10-07 |
| 1710374103 | Ellen Kim | Radiology | 75 Francis St, Asb1- L2, Boston, MA 02115-6110 | 2015-04-23 |
| 1013321108 | Ellen Kim | Pharmacist | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2014-06-17 |
| 1982044806 | Ellen Kim | Pharmacist | 164 W Chelten Ave, Philadelphia, PA 19144-3302 | 2013-06-25 |
| 1912249400 | Ellen Sohyun Kim | Internal Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2013-03-22 |
| 1689847584 | Ellen Kim | Pharmacist | 1000 1st Ave, New York, NY 10022-4105 | 2008-04-11 |
| 1912069329 | Ellen H Kim | Family Medicine | 2324 Second Street Pike, Wrightstown Family Medicine PC, Wrightstown, PA 18940-4110 | 2006-12-14 |
| 1275600637 | Ellen Kim | Family Medicine | 4253 Montgomery Blvd Ne, Suite 100, Albuquerque, NM 87109-1106 | 2006-11-29 |
| Street Address |
2329 EAST HUNTINGTON DRIVE |
| City | DUARTE |
| State | CA |
| Zip Code | 91010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266849 | Cheyenne King | Student in an Organized Health Care Education/Training Program | 1801 Huntington Drive, Duarte, Ca 91010, Duarte, CA 91010 | 2020-05-07 |
| 1114578028 | Cristian Gonzalez | Case Manager/Care Coordinator | 2250 E Foothill Ave, Pasadena, CA 91010 | 2019-09-23 |
| 1366932378 | Maisie Madrid | Marriage & Family Therapist | 1801 Huntington Drive, Duarte, CA 91010 | 2018-05-15 |
| 1598289571 | Bertha Maria Torres | Social Worker | 938 E. Huntington Drive, Unit A, Duarte, CA 91010 | 2017-08-01 |
| 1598292286 | Sheila Ramirez | Occupational Therapy Assistant | 2302 Citrus View Ave, Duarte, CA 91010 | 2017-05-12 |
| 1982059556 | Patricia Mendoza | Case Manager/Care Coordinator | 2502 E.huntington Dr., Duarte, CA 91010 | 2016-05-02 |
| 1770966178 | Sinziana Dumitra | Surgery | 1500 Durate Road California, Mob L001, Duarte, CA 91010 | 2015-07-02 |
| 1477940161 | Jin Sun L Bitar | Internal Medicine | 1500 Duarte Rd # Wing4, Duarte, CA 91010 | 2015-04-20 |
| 1659625622 | Jeanette Marie Petermann | Nurse Practitioner | 1036 East Huntington Drive, Duarte, CA 91010 | 2012-10-30 |
| 1649534397 | Nathaniel J Khoe Dds. Inc | Dentist | 1016 Huntington Drive, Duarte, CA 91010 | 2012-06-27 |
| Find all providers in zip 91010 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851410526 | Mahmuda Ahmad | Pediatrics | 931 Buena Vista St Ste 100, Duarte, CA 91010-1780 | 2007-03-27 |
| 1093876245 | Yovana Graciela Bruno | Pediatrics | 1750 Huntington Dr Ste D, Duarte, CA 91010 | 2006-12-12 |
| 1760551717 | Danny Ching Wang | Pediatrics | 2329 E. Huntington Dr., Duarte, CA 91010-2102 | 2006-11-06 |
| 1386730919 | Vaijayanti S Koldhekar | Pediatrics | 931 Buena Vista # 302, Duarte, CA 91010 | 2006-10-04 |
| 1598869018 | Georgette Tadros | Pediatrics | 931 Buena Vista, Ste 202, Duarte, CA 91010 | 2006-09-13 |
| 1437512944 | Vincent Chan | Pediatrics | 1500 E Duarte Road, Duarte, CA 91010 | 2016-04-01 |
| 1396150736 | Rusha Bhandari | Pediatrics | 1500 Duarte Rd, Duarte, CA 91010-3012 | 2014-06-24 |
| 1023383213 | Christopher Clement Denton | Pediatrics | 1500 E. Duarte Road, Duarte, CA 91010 | 2012-03-20 |
| 1073880167 | Alicia P. Cuento, M.d., Inc | Pediatrics | 931 Buena Vista St, #100, Duarte, CA 91010-1712 | 2011-11-17 |
| 1699904060 | Joseph Anthony Cuento | Pediatrics | 931 Buena Vista St, Suite 100, Duarte, CA 91010-1712 | 2009-07-07 |
| Find all providers in DUARTE | ||||
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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.