MR. KENNETH TAIK KIM (NPI# 1760741342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760741342 |
| Entity Type | Individual |
| Full Name | MR. KENNETH TAIK KIM |
| Credential | PT, DPT |
| Practice Address |
3301 S Hoover St Los Angeles CA 90007-3557 |
| Mailing Address |
225 N Avenue 25 Apt #311 Los Angeles CA 90031-1794 |
| Practice Telephone | 2137400215 |
| Mailing Telephone | 3108015419 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
38333 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205210929 | Kenneth Kim | Dentist | 6519 Fm 1488, Westwood Village, #505, Magnolia, TX 77354 | 2015-07-13 |
| 1437547528 | Kenneth Kim | Registered Nurse | 59 Grafe St, Staten Island, NY 10309-1774 | 2014-12-26 |
| 1952473274 | Kenneth Kwanyoung Kim | Surgery | 10830 Garland Dr, Culver City, CA 90232-3755 | 2006-11-14 |
| 1205833563 | Kenneth T Kim | Allergy & Immunology | 2600 Redondo Ave, Ste 400, Long Beach, CA 90806-2330 | 2005-07-01 |
| 1710509054 | Kenneth C Kim | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-05-09 |
| 1003441262 | Kenneth Taeyoung Kim | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-03-09 |
| 1164914339 | Kenneth Kim | Student in an Organized Health Care Education/Training Program | 9027 Sutphin Blvd, Jamaica, NY 11435-3647 | 2018-06-04 |
| 1780942375 | Kenneth Kim | Emergency Medicine | 101 The City Dr S Bldg 200, Orange, CA 92868-3201 | 2012-05-02 |
| 1568690832 | Kenneth Pak Kim | Anesthesiology | 707 Sw Washington St, Ste 700, Portland, OR 97205-3536 | 2009-06-25 |
| 1225295181 | Kenneth Keisung Kim | Psychologist | 411 Oak St, Cincinnati, OH 45219-2504 | 2008-05-19 |
| Street Address |
3301 S HOOVER ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90007-3557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278632 | St. John's Well Child and Family Center, Inc. | Clinic/Center | 1060 West Exposition Blvd., Los Angeles, CA 90007 | 2019-04-10 |
| 1639690803 | Michelle Pittman | Registered Nurse | 2829 South Grand Ave., H. Claude Hudson Chc, Los Angeles, CA 90007 | 2017-06-28 |
| 1568983773 | Debbie Sharon Gillett | Registered Nurse | 2829 South Grand Avenue, H. Claude Hudson Health Center, Los Angeles, CA 90007 | 2017-06-28 |
| 1043749435 | Tamika Brown | Driver | 2947 Van Buren Place, Los Angeles, CA 90007 | 2017-06-08 |
| 1356891857 | Eli Gendler | General Practice | 2501 South Hill St., Los Angeles, CA 90007 | 2016-10-07 |
| 1770037715 | Jennifer R Knutson | Nurse Practitioner | 2409 S. Vermont Ave., Los Angeles, CA 90007 | 2016-08-08 |
| 1386006088 | Matthew Welzenbach | Internal Medicine | St. John's Well Child, 1910 Magnolia Ave #101, Los Angeles, CA 90007 | 2016-03-22 |
| 1316315765 | Gary L Nollins | Counselor | 145 W 22ns Street, Los Angeles, CA 90007 | 2015-09-02 |
| 1861882698 | Tarlan, P. Akhavan Dds A Prof Corp | Dentist | 2407 South Vermont Ave, Los Angeles, CA 90007 | 2015-02-02 |
| 1316341258 | Jessica Huang | Student in an Organized Health Care Education/Training Program | 854 West Adams Blvd, Los Angeles, CA 90007 | 2014-10-21 |
| Find all providers in zip 90007 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1659921054 | Nazanin Amini | Physical Therapist | 5450 W Pico Blvd Ste 202, Los Angeles, CA 90019-3997 | 2019-09-17 |
| 1609393396 | Victory Performance and Physical Therapy | Physical Therapist | 11461 W Washington Blvd Ste 1, Los Angeles, CA 90066-6014 | 2017-08-24 |
| 1740728112 | Michael Karas | Physical Therapist | 3745 Bagley Ave, Apt. 202, Los Angeles, CA 90034-7404 | 2017-02-06 |
| 1851776694 | Reliable Emg | Physical Therapist | 3450 Sawtelle Blvd Apt 140, Los Angeles, CA 90066-2163 | 2015-07-22 |
| 1568866184 | Lauren Freitas | Physical Therapist | 10877 Wilshire Blvd, Ste P1, Los Angeles, CA 90024-4413 | 2014-10-09 |
| 1700127610 | Julianne Frances Kelman | Physical Therapist | 321 N. Larchmont Blvd. #825, Larchmont Physical Therapy, Los Angeles, CA 90004-6400 | 2013-03-04 |
| 1902195696 | All Around Physical Therapy, Inc. | Physical Therapist | 4253 Lindblade Dr, Los Angeles, CA 90066-5807 | 2011-04-03 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90007 |
Please comment or provide details below to improve the information on MR. KENNETH TAIK 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.