MOON JU KIM (NPI# 1679787766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679787766 |
| Entity Type | Individual |
| Full Name | MOON JU KIM |
| Credential | N.P. |
| Practice Address |
1058 S Vermont Ave Los Angeles CA 90006-2721 |
| Practice Telephone | 2133808833 |
| Practice Fax Number | 2133686047 |
| Mailing Telephone | 2133808833 |
| Mailing Fax Number | 2133686047 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
NP8434 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NP0084340 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174970917 | Moon Kim | Pharmacist | 58 Ardale Rd, Paramus, NJ 07652-2602 | 2016-05-23 |
| 1790112738 | Moon Kim | Pharmacist | 751 S Bascom Ave Bldg W, San Jose, CA 95128-2604 | 2013-10-05 |
| 1982696605 | Moon Y. Kim | Anesthesiology | 36 Hillcrest Dr, Upper Saddle River, NJ 07458-2004 | 2005-08-18 |
| 1588957732 | Moon J Kim | Physical Medicine & Rehabilitation | 6900 Georgia Ave Nw, Dept of Physical Medicine (3j), Washington, DC 20307-0003 | 2011-05-20 |
| 1386868578 | Moon Hyun Kim | Obstetrics & Gynecology | 101 The City Dr S, Orange, CA 92868-3201 | 2007-04-12 |
| 1861567026 | Moon Kyung Kim | Pharmacist | 1870 Lexington Ave, New York, NY 10029-2046 | 2006-11-22 |
| 1427069384 | Moon Ho Kim | Anesthesiology | 41 E Post Rd, White Plains, NY 10601-4607 | 2006-08-10 |
| 1114963881 | Moon Kim | Pediatrics | 900 Jorie Blvd, Suite 186, Oak Brook, IL 60523-2213 | 2006-06-21 |
| 1861480253 | Moon C Kim | Anesthesiology | 8260 Atlee Rd, Mechanicsville, VA 23116-1844 | 2005-10-10 |
| Street Address |
1058 S VERMONT AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90006-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023176229 | Dong Joon Yi | Pediatrics | 1058 S Vermont Ave, 227, Los Angeles, CA 90006-2721 | 2006-12-04 |
| 1366797870 | Seeday Hearing Aid Inc | Hearing Instrument Specialist | 1058 S Vermont Ave, Suite 101, Los Angeles, CA 90006-2721 | 2012-07-20 |
| 1396015152 | Johnny Park | Hearing Instrument Specialist | 1058 S Vermont Ave, Suite 109, Los Angeles, CA 90006-2721 | 2012-01-10 |
| 1891944633 | Soon M. Cha, M.d., Inc. | Obstetrics & Gynecology | 1058 S Vermont Ave, Suite 204, Los Angeles, CA 90006-2721 | 2008-09-17 |
| 1093985418 | Koryo Health Foundation | Clinic/Center | 1058 S Vermont Ave, Los Angeles, CA 90006-2721 | 2008-03-03 |
| 1497933691 | Koryo Health Foundaton | Clinic/Center | 1058 S Vermont Ave, Los Angeles, CA 90006-2721 | 2008-02-11 |
| 1952460156 | Koryo Health Foundation | General Practice | 1058 S Vermont Ave, Los Angeles, CA 90006-2721 | 2006-12-06 |
| 1013942812 | Sang Moon Lee | Medical Genetics, Ph.D. Medical Genetics | 1058 S Vermont Ave, Los Angeles, CA 90006-2721 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
| 1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
| 1083192116 | Sanghee Hong | Nurse Practitioner | 2655 W Olympic Blvd Ste 101, Los Angeles, CA 90006 | 2018-07-31 |
| 1134638919 | Joon Hyung Kim | Chiropractor | 3130 W. Olympic Blvd., Suite 350, Los Angeles, CA 90006 | 2017-09-25 |
| 1578082988 | Judy Lee | Behavior Technician | 900 South Serrano Ave #401, Los Angeles, CA 90006 | 2017-09-18 |
| 1689126773 | Seungah Madison Lee | Acupuncturist | 3053 W. Olympic Blvd, #311, Los Angeles, CA 90006 | 2016-10-25 |
| 1790149789 | Kihyun Kim | Acupuncturist | 975 S. Vermont Ave, #201, Los Angeles, CA 90006 | 2016-04-06 |
| 1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
| 1376916817 | Global Eastern Medicine Group | Acupuncturist | 1010 S. Fedora St. #101, Los Angeles, CA 90006 | 2015-11-05 |
| Find all providers in zip 90006 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548760606 | Mary Walton | Nurse Practitioner | 1578 Colorado Blvd Ste B, Los Angeles, CA 90041-1451 | 2018-02-15 |
| 1013459981 | Scarlett Vanessa Grandy | Nurse Practitioner | 1513 S Grand Ave Ste 220, Los Angeles, CA 90015-3075 | 2016-11-09 |
| 1437609534 | Melissa Wilhelm | Nurse Practitioner | 8631 W 3rd St Ste 510, Los Angeles, CA 90048 | 2016-10-12 |
| 1710261177 | Julia Reger | Nurse Practitioner | 554 N Plymouth Blvd, Los Angeles, CA 90004-1411 | 2011-10-04 |
| 1992083877 | Talya Waldman | Nurse Practitioner | 8631 W Third Street, Suite 740 East, Los Angeles, CA 90048 | 2011-07-27 |
| 1548568728 | Marion M Mayer | Nurse Practitioner | 9911 West Pico Blvd Suite 500, Los Angeles, CA 90035 | 2011-03-11 |
| 1962664136 | Judy B Wittenberg Bravard | Nurse Practitioner | 11101 Venice Blvd, Los Angeles, CA 90034-6914 | 2008-06-30 |
| 1205024171 | Virginia Villegas | Nurse Practitioner | 4156 S Central Ave, Los Angeles, CA 90011-3154 | 2007-10-04 |
| 1003037466 | Antoinette Zaragoza | Nurse Practitioner | 245 S. Fetterly Ave, Roybal Comprehensive Chc, Los Angeles, CA 90022-0000 | 2007-05-02 |
| 1346306917 | Cherokee Lynette Lavalley | Nurse Practitioner | 10024 S Vermont Ave, Los Angeles, CA 90044-3112 | 2006-12-28 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90006 |
Please comment or provide details below to improve the information on MOON JU 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.