MR. BRIAN BYOUNGSOO KIM (NPI# 1699022111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699022111 |
Entity Type | Individual |
Full Name | MR. BRIAN BYOUNGSOO KIM |
Credential | MPT |
Practice Address |
1962 Roanoke Ave Tustin CA 92780-6635 |
Practice Telephone | 7144886773 |
Mailing Telephone | 7144886773 |
Enumeration Date | 2012-08-15 |
Last Update Date | 2019-07-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
36544 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
68 Willow Rd, Menlo Park, CA 940253653 | 8668396979 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407487440 | Brian Kim | Student in an Organized Health Care Education/Training Program | 340 E 23rd St Apt 7c, New York, NY 10010-4748 | 2020-01-29 |
1407284714 | Brian Woogi Kim | Physical Therapist | 14153 Robert Paris Ct Ste A, Chantilly, VA 20151-4225 | 2013-10-23 |
1902241573 | Brian A Kim | Anesthesiology | 7115 Greenback Ln Fl 1, Citrus Heights, CA 95621-6133 | 2013-05-08 |
1437448081 | Brian J Kim | Audiologist | 1107 College Ave Ste 2, Quincy, IL 62301-2600 | 2011-04-05 |
1588804611 | Brian T Kim | Dentist | 7501 Hospital Dr Ste 202, Sacramento, CA 95823-5405 | 2009-03-02 |
1598989063 | Brian Kim | Dentist | 25211 Paseo De Alicia Ste 200, Laguna Hills, CA 92653-4614 | 2007-04-13 |
1295868636 | Brian Songsu Kim | Dentist | 1406 Jefferson St, Delano, CA 93215-2222 | 2007-03-14 |
1467521443 | Brian Chong-han Kim | Dentist | 222 N G St, #3, San Bernardino, CA 92410-3217 | 2006-11-06 |
1346299831 | Brian Won-sik Kim | Internal Medicine | 1725 W Harrison St Ste 250, Chicago, IL 60612-3861 | 2006-05-10 |
1861483166 | Brian K. Kim | Internal Medicine | 3840 Broadway, Fort Myers, FL 33901-8108 | 2005-11-04 |
Street Address |
1962 ROANOKE AVE |
City | TUSTIN |
State | CA |
Zip Code | 92780-6635 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
Find all providers in zip 92780 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
1689745853 | Sonia Delgado Armbruster | Physical Therapist | 17321 17th St, Tustin, CA 92780-7919 | 2006-11-10 |
1376189175 | Hana Mae James | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780-3655 | 2019-11-27 |
1124532171 | Allea Jewel Francis | Physical Therapist | 13891 Newport Ave Ste 285, Tustin, CA 92780-7840 | 2017-11-29 |
1528476165 | Rehab and Revive Physical Therapy Inc. | Physical Therapist | 14661 Myford Rd, Suite C, Tustin, CA 92780-7205 | 2014-07-28 |
1114078946 | Brenda Madsen | Physical Therapist | 18102 Irvine Blvd, Suite 207, Tustin, CA 92780-3402 | 2007-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
Find all providers with the same taxonomy |
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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.