PAUL SUNGYUL KIM (NPI# 1760433296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760433296 |
| Entity Type | Individual |
| Full Name | PAUL SUNGYUL KIM |
| Credential | MD |
| Practice Address |
431 S Batavia St Ste. 103 Orange CA 92868-3936 |
| Mailing Address |
Po Box 14005 Orange CA 92863-1405 |
| Practice Telephone | 7145386731 |
| Practice Fax Number | 7147718369 |
| Mailing Telephone | 7145715000 |
| Mailing Fax Number | 7145715055 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G77030 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALOPTIMA | 00G770300159 | 01 |
| CA | BLUE SHIELD | 00G770301 | 01 |
| CA | BLUE SHIELD | 00G770300 | 01 |
| CA | 00G770300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427529973 | Paul Kim | Registered Nurse | 17314 Vickie Ave, Cerritos, CA 90703-1354 | 2018-12-10 |
| 1538600119 | Paul Kim | Physical Therapy Assistant | 1378 Willow Oak Rd, Castle Rock, CO 80104-8566 | 2017-03-15 |
| 1619417490 | Paul Kim | Pharmacist | 765 Limekiln Pike Unit 26, Glenside, PA 19038-3930 | 2017-02-28 |
| 1568919686 | Paul Kim | Dentist | Hq, 618th Dental Company (as), Usa, Health Dental Activity-korea, Seoul, APO AP 96205-5652 | 2016-09-07 |
| 1467825786 | Paul J Kim | Dentist | Ucsf Department of Surgery 513 Parnassus Ave, S321, San Francisco, CA 94143 | 2015-11-09 |
| 1336560234 | Paul Kim | Dentist | 809 N Houk Rd, Delaware, OH 43015-4418 | 2013-12-18 |
| 1841633138 | Paul Taehoon Kim | Student in an Organized Health Care Education/Training Program | 231 Albert Sabin Way Ml 0558, Univ of Cincinnati Medical Center Department of Surgery, Cincinnati, OH 45267-0588 | 2013-04-17 |
| 1174806525 | Paul Joon Kim | Dentist | 514 Fulton Ave, Hempstead, NY 11550-4364 | 2011-09-22 |
| 1275822777 | Paul Moonwhan Kim | Psychiatry & Neurology | Meyer 1-104, 600 N. Wolfe St., Baltimore, MD 21287-0001 | 2011-04-05 |
| 1477885960 | Paul Kim | Dentist | 6090 Redwood Blvd, Suite D, Novato, CA 94945-4569 | 2010-02-08 |
| Street Address |
431 S BATAVIA ST STE. 103 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952300592 | Joseph Barlin Tison | Radiology | 431 S Batavia St, Ste. 103, Orange, CA 92868-3936 | 2005-07-15 |
| 1346477916 | Samir Hemendra Shah | Radiology | 431 S Batavia St, Ste 103, Orange, CA 92868-3936 | 2009-06-22 |
| 1801075189 | Andrew Nathan Knoll | Radiology | 431 S Batavia St, Suite 103, Orange, CA 92868-3936 | 2007-11-02 |
| 1518165638 | Eagle Imaging Medical Group, Inc. | Radiology | 431 S Batavia St, Ste. 103, Orange, CA 92868-3936 | 2007-07-10 |
| 1376767194 | Richard Cho | Radiology | 431 S Batavia St, Suite 103, Orange, CA 92868-3936 | 2007-04-12 |
| 1144350455 | William F. Velick | Radiology | 431 S Batavia St, Ste. 103, Orange, CA 92868-3936 | 2007-03-06 |
| 1700811700 | William N Holmes | Radiology | 431 S Batavia St, Ste. 103, Orange, CA 92868-3936 | 2006-07-11 |
| 1003849936 | Kimberly M. Ray | Radiology | 431 S Batavia St, Suite 103, Orange, CA 92868-3936 | 2006-07-07 |
| 1588609382 | Angela Allevato | Pediatrics | 431 S Batavia St, #203, Orange, CA 92868-3936 | 2006-06-17 |
| 1285684449 | Kirk L Ohanian | Radiology | 431 S Batavia St, Suite 103, Orange, CA 92868-3936 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1154825172 | Taylor Wolfe | Radiology | 101 The City Dr S Bldg 20, Orange, CA 92868 | 2018-03-23 |
| 1134677321 | Regional Diagnostic Imaging | Radiology | 6043 E Birdcage Ct, Orange, CA 92869-6015 | 2016-09-15 |
| 1609262047 | David Gedeon | Radiology | 101 The City Dr S Rm 115, Orange, CA 92868-3201 | 2015-04-13 |
| 1316382377 | Mark Duc Tran | Radiology | 101 The City Drive South, Bldg. 1, Room 0115, Route 140, Orange, CA 92868 | 2013-05-05 |
| 1396057576 | Waikeong Wong | Radiology | 101 The City Drive South, Route 140, Orange, CA 92868 | 2010-07-05 |
| 1134443211 | Kenneth Meng | Radiology | 431 S Batavia St Ste 103, Orange, CA 92868-3937 | 2010-03-18 |
| 1528380011 | Christopher Lee | Radiology | 101 The City Dr Rt 140, Orange, CA 92868 | 2010-02-24 |
| 1033151857 | Charles Steven Day | Radiology | 608 Strickland Drive, Orange, TX 77630-4717 | 2006-06-13 |
| 1952300592 | Joseph Barlin Tison | Radiology | 431 S Batavia St, Ste. 103, Orange, CA 92868-3936 | 2005-07-15 |
| Find all providers in ORANGE | ||||
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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.