ANGELA EUNKYUNG KIM (NPI# 1629527767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629527767 |
| Entity Type | Individual |
| Full Name | ANGELA EUNKYUNG KIM |
| Credential | D.D.S |
| Practice Address |
230 E 17th St 208 Costa Mesa CA 92627-3824 |
| Practice Telephone | 9496450045 |
| Practice Fax Number | 9496450055 |
| Mailing Telephone | 9496450045 |
| Mailing Fax Number | 9496450055 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
56443 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619450491 | Angela Kim | Nurse Practitioner | 1930 S Beverly Glen Blvd Apt 203, Los Angeles, CA 90025-5158 | 2018-09-07 |
| 1528506383 | Angela Kim | Nurse Practitioner | 955 W Imperial Hwy Ste 100, Brea, CA 92821-3814 | 2017-02-01 |
| 1821439050 | Angela Kim | Student in an Organized Health Care Education/Training Program | 72 Cesar Chavez Ctr, Berkeley, CA 94720-4280 | 2013-07-16 |
| 1578712154 | Angela Kim | Marriage & Family Therapist | 3517 Caminito Sierra Unit 102, Carlsbad, CA 92009-8654 | 2008-09-18 |
| 1497352975 | Angela Kim | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2020-10-07 |
| 1093337107 | Angela Jeewon Kim | Internal Medicine | 28050 Grand River Ave, Farmington Hills, MI 48336-5919 | 2020-05-12 |
| 1871066647 | Angela Kim | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2019-01-04 |
| 1437654159 | Angela J. Kim | Student in an Organized Health Care Education/Training Program | 900 S Limestone Ctw 304, Lexington, KY 40536-0293 | 2018-03-26 |
| 1649711391 | Angela Yoonha Kim | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 2017-03-14 |
| 1275935975 | Angela Kim | Student in an Organized Health Care Education/Training Program | 1000 W Carson St # 3, Torrance, CA 90502-2004 | 2014-09-24 |
| Street Address |
230 E 17TH ST 208 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-3824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336110683 | Claudio M Carvalho | Physical Medicine & Rehabilitation | 230 E 17th St, Suite 202, Costa Mesa, CA 92627-3824 | 2006-01-26 |
| 1477085793 | Desanto Clinics | Internal Medicine | 230 E 17th St, Suite 200, Costa Mesa, CA 92627-3824 | 2017-03-28 |
| 1750781381 | Suk Woo | Dentist | 230 E 17th St, Ste. 208, Costa Mesa, CA 92627-3824 | 2014-09-02 |
| 1871900399 | Mohammad Fardghassemi | Hearing Instrument Specialist | 230 E 17th St, Suite 170, Costa Mesa, CA 92627-3824 | 2014-07-16 |
| 1326464850 | Farand Kusnadi | Chiropractor | 230 E 17th St, Suite 202, Costa Mesa, CA 92627-3824 | 2014-03-07 |
| 1508167115 | Claudio M. Carvalho, Do, A Prof Medical Corp | Non-Pharmacy Dispensing Site | 230 E 17th St, Suite 202, Costa Mesa, CA 92627-3824 | 2010-11-12 |
| 1497984876 | Jessica Amling | Physical Therapist | 230 E 17th St, Suite 201, Costa Mesa, CA 92627-3824 | 2009-07-07 |
| 1851545537 | Chonway Daly Tram | Dentist | 230 E 17th St, Suite 208, Costa Mesa, CA 92627-3824 | 2008-11-08 |
| 1508015603 | Costa Mesa Corp. | Dentist | 230 E 17th St, Suite 208, Costa Mesa, CA 92627-3824 | 2008-09-12 |
| 1376712273 | Claudio M. Carvalho, D.o, A Professional Medical Corporation | Physical Medicine & Rehabilitation | 230 E 17th St, Suite 202, Costa Mesa, CA 92627-3824 | 2008-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841705746 | Timothy Joseph Rolfes | Dentist | 1530 Baker St #j, Costa Mesa, CA 92626-3752 | 2017-12-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1255880928 | Karen Pingyao Yeh | Dentist | 1545 Baker St, Costa Mesa, CA 92626-3731 | 2016-09-22 |
| 1548642846 | De Leon Dentistry General & Cosmestic | Dentist | 1942 Harbor Blvd., Costa Mesa, CA 92627 | 2015-06-23 |
| 1689068884 | M. Zakhary Dds, Inc. | Dentist | 488 E 17th St, 101a, Costa Mesa, CA 92627-3250 | 2015-03-25 |
| 1467716035 | Julianne Shaw | Dentist | 1831 Orange Ave Ste D, Costa Mesa, CA 92627-2839 | 2012-06-28 |
| 1487913471 | Matt G. Farzin Dds, Inc | Dentist | 2969 Harbor Blvd., Costa Mesa, CA 92626 | 2012-05-10 |
| 1558631234 | Sandra Y Rodriguez | Dentist | 2700 Peterson Pl, Unit 49b, Costa Mesa, CA 92626-5300 | 2012-01-11 |
| 1932485299 | Annie Van Anh Nguyen | Dentist | 3105 Monroe Way, Costa Mesa, CA 92626-2826 | 2011-10-31 |
| 1730463662 | Douglas W Lim | Dentist | 728 West 19th St., Suite B, Costa Mesa, CA 92627-6148 | 2011-10-11 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
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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.