JOHNNY M KIM (NPI# 1659803617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659803617 |
| Entity Type | Individual |
| Full Name | JOHNNY M KIM |
| Credential | MD |
| Practice Address |
6772 Park Ave Garden Grove CA 92845-2928 |
| Practice Telephone | 7146157438 |
| Mailing Telephone | 7146157438 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528155819 | Johnny K Kim | Dentist | 906 N Vermont Ave, Los Angeles, CA 90029-3519 | 2006-10-06 |
| 1023097375 | Johnny Jongsun Kim | Personal Emergency Response Attendant | 117 Lincoln St, Framingham, MA 01702-6358 | 2006-01-14 |
| 1932720513 | Johnny Junhong Kim | Student in an Organized Health Care Education/Training Program | 4422 3rd Ave, Bronx, NY 10457-2594 | 2020-05-05 |
| 1780128637 | Johnny Kim | Pharmacist | 55 Water St, New York, NY 10041-0004 | 2016-12-12 |
| 1568913820 | Johnny Kim | Student in an Organized Health Care Education/Training Program | 204 Hampton Drive, Venice, CA 90291 | 2016-10-20 |
| 1568676252 | Johnny Kim | Internal Medicine | 6650 Alton Pkwy, Mob 2, Division of Pulmonology, Irvine, CA 92618-3734 | 2007-05-10 |
| Street Address |
6772 PARK AVE |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92845-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059352 | Maria Sanchez Selvas | Technician | 5922 Belgrave Ave, Garden Grove, CA 92845 | 2019-08-21 |
| 1205342524 | Ahcs Specialty Care LLC | Pharmacy | 12832 Valley View St Ste A&b, Garden Grove, CA 92845 | 2017-12-22 |
| 1154745594 | Amanda Siu | Dentist | 12062 Valley View St #250, Garden Grove, CA 92845 | 2014-02-05 |
| 1295085660 | Harrell M Reznick | Psychologist | 12792 Longden St, Garden Grove, CA 92845 | 2012-09-13 |
| 1093065328 | Jessica Eldridge | Psychologist | 12777 Valley View, Suite 212, Garden Grove, CA 92845 | 2012-09-13 |
| 1205114501 | Hideki Ikeda D.d.s., M.s., Dental Corporation | Dentist | 12777 Valley View St.., Suite 222, Garden Grove, CA 92845 | 2011-08-03 |
| 1669652533 | David D. Brown | Psychiatry & Neurology | 12062 Valley View St Ste 107, Garden Grove, CA 92845 | 2007-11-08 |
| 1427267608 | Stacy Derenard | Speech-Language Pathologist | 12060 Valley View St, Suite 137, Garden Grove, CA 92845 | 2007-05-22 |
| 1992914170 | Erin Dawn Densmore | Speech-Language Pathologist | 12060 Valley View St., Suite 137, Garden Grove, CA 92845 | 2007-05-22 |
| 1902944929 | Regency Hospice Inc | Hospice Care, Community Based | 12062 Valley View Street #125, Garden Grove, CA 92845 | 2007-02-02 |
| Find all providers in zip 92845 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761962 | Adrienne Jan | Student in an Organized Health Care Education/Training Program | 12432 9th St, Garden Grove, CA 92840-3539 | 2020-08-17 |
| 1376155895 | Harold Huan Nguyen | Student in an Organized Health Care Education/Training Program | 12953 Lily St, Garden Grove, CA 92840-6226 | 2020-08-17 |
| 1891307369 | May Truc-van Tran | Student in an Organized Health Care Education/Training Program | 13412 Kerry St, Garden Grove, CA 92844-2417 | 2020-08-17 |
| 1174135628 | Yen-nhu Dinh Bui | Student in an Organized Health Care Education/Training Program | 9732 Oasis Ave, Garden Grove, CA 92844-3029 | 2020-08-17 |
| 1396361531 | Aitam Duong | Student in an Organized Health Care Education/Training Program | 10632 Morningside Dr, Garden Grove, CA 92843-4903 | 2020-06-23 |
| 1043833957 | Arjun Tudi Reddy | Student in an Organized Health Care Education/Training Program | 12664 Chapman Ave Unit 1218, Garden Grove, CA 92840-4030 | 2020-05-26 |
| 1518596568 | Jenny Le | Student in an Organized Health Care Education/Training Program | 8651 Gloria Ave Apt B, Garden Grove, CA 92844-1944 | 2020-04-02 |
| 1063993152 | Danny Hieu Pham | Student in an Organized Health Care Education/Training Program | 12691 Jackson St, Garden Grove, CA 92841-4437 | 2018-08-27 |
| 1609356328 | Nolan Nguyen | Student in an Organized Health Care Education/Training Program | 12291 Tamerlane Dr, Garden Grove, CA 92840-3917 | 2018-08-21 |
| 1750817128 | Vincent T Nguyen | Student in an Organized Health Care Education/Training Program | 9291 Melba Dr, Garden Grove, CA 92841-1212 | 2017-05-04 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92845 |
Please comment or provide details below to improve the information on JOHNNY M 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.