DR. JIEUN ANNA KIM (NPI# 1720305584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720305584 |
| Entity Type | Individual |
| Full Name | DR. JIEUN ANNA KIM |
| Credential | M.D. |
| Practice Address |
3030 Childrens Way Suite 109 San Diego CA 92123-4232 |
| Mailing Address |
3020 Childrens Way Mc 5003 San Diego CA 92123-4223 |
| Practice Telephone | 8583097702 |
| Mailing Telephone | 8583096300 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2017-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A115677 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215138458 | Jieun Kim | Psychiatry & Neurology | 921b N Bethlehem Pike Ste 305, Lower Gwynedd, PA 19002-1319 | 2007-05-28 |
| 1861003733 | Jieun Judy Kim | Pharmacist | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-08-13 |
| 1447792767 | Jieun Kim | Hearing Instrument Specialist | 18802 Mountain View Dr E, Bonney Lake, WA 98391-7110 | 2016-11-17 |
| 1396112819 | Jieun Kim | Pharmacist | 7523 Broadway, Elmhurst, NY 11373-5612 | 2015-09-01 |
| 1912337676 | Jieun Kim | Pharmacist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2013-11-17 |
| 1386084333 | Jieun Kim | Nurse Practitioner | 1122 S St Ste 102, Fresno, CA 93721-1430 | 2013-07-03 |
| 1841599347 | Jieun Kim | Counselor | 1665 W Adams Blvd, Los Angeles, CA 90007-1533 | 2011-03-23 |
| 1982912879 | Jieun Kim | Counselor | 5 Market Sq, Suite 5b, Amesbury, MA 01913-2497 | 2010-09-14 |
| Street Address |
3030 CHILDRENS WAY SUITE 109 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144229600 | Charles Douglas Wallace | Orthopaedic Surgery | 3030 Childrens Way, Ste 410, San Diego, CA 92123-4232 | 2005-07-18 |
| 1841808854 | Lorri A. Kais | Clinical Neuropsychologist | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-07-15 |
| 1114541760 | Samantha Barbara Nigrelli | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-05-29 |
| 1134755630 | Sara J. Fligelman | Psychologist | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-03-16 |
| 1316571367 | Kayleigh M. Prowse | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2020-02-28 |
| 1639649239 | Kimberly Charlotte Padilla | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123 | 2018-11-27 |
| 1568953172 | Elizabeth Williams Smith | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2018-05-21 |
| 1083132260 | Eve U. Nguyen | Psychologist | 3030 Childrens Way, San Diego, CA 92123-4232 | 2017-09-07 |
| 1659893295 | Ronak Rahmanian | Otolaryngology | 3030 Childrens Way, San Diego, CA 92123-4232 | 2017-07-14 |
| 1689048530 | Carie Truong Lam | Physician Assistant | 3030 Childrens Way, San Diego, CA 92123-4232 | 2015-11-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496320 | William Thomas Parker | Ophthalmology | 5279 Gaylord Pl, San Diego, CA 92117-1034 | 2020-08-07 |
| 1932763042 | Logan M. Haak, M.d., Inc. | Ophthalmology | 1855 1st Ave # 200b, San Diego, CA 92101-2685 | 2019-04-24 |
| 1871009001 | Glenn Paul Goltz | Ophthalmology | 4240 Arguello St, San Diego, CA 92103-1506 | 2017-12-26 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1811350549 | Nora El-khatib Md Inc. | Ophthalmology | 302 Washington St # 150-1676, San Diego, CA 92103-2110 | 2016-03-31 |
| 1225419583 | Andrew Cu-unjieng, M.d. | Ophthalmology | 4060 Fourth Ave Ste 405, San Diego, CA 92103-2121 | 2015-06-12 |
| 1215277272 | Joseph Hartman | Ophthalmology | 5006 Westminster Ter, San Diego, CA 92116-2103 | 2013-02-27 |
| 1477804284 | Michelle B. Crosby M.d., Ph.d. Incorporated | Ophthalmology | 5550 Carmel Mountain Rd Ste 206, San Diego, CA 92130-4861 | 2012-09-20 |
| 1467714311 | Eye Care Associates of San Diego Medical Group, Inc. | Ophthalmology | 4455 Morena Blvd, Suite 203, San Diego, CA 92117-4358 | 2012-06-15 |
| 1790041804 | Jessica Gomez | Ophthalmology | 7695 Cardinal Ct Ste 100, San Diego, CA 92123-3357 | 2012-04-03 |
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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.