SHANNON KIM (NPI# 1760873236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760873236 |
| Entity Type | Individual |
| Full Name | SHANNON KIM |
| Practice Address |
7212 Orangethorpe Ave 9a Buena Park CA 90621-3341 |
| Practice Telephone | 7144491125 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469889 | Shannon J Kim | Prosthetist | 10740 Meridian Ave N Ste G2, Seattle, WA 98133-9010 | 2020-02-21 |
| Street Address |
7212 ORANGETHORPE AVE 9A |
| City | BUENA PARK |
| State | CA |
| Zip Code | 90621-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295772507 | Robert H. Moon | Internal Medicine | 7212 Orangethorpe Ave, Suite 9a, Buena Park, CA 90621-3341 | 2006-06-02 |
| 1568945087 | Hannah Kim | Counselor | 7212 Orangethorpe Ave, Buena Park, CA 90621-3341 | 2018-09-11 |
| 1053820712 | Tajinder Kaur Tut | Registered Nurse | 7212 Orangethorpe Ave, Buena Park, CA 90621-3341 | 2017-09-26 |
| 1215460001 | Hyekyung Thrane | Nurse Practitioner | 7212 Orangethorpe Ave, Buena Park, CA 90621-3341 | 2017-04-07 |
| 1568902252 | We Sun Park | Counselor | 7212 Orangethorpe Ave, Buena Park, CA 90621-3341 | 2017-03-01 |
| 1588109961 | Hyun Choi | Counselor | 7212 Orangethorpe Ave, Suite 8, Buena Park, CA 90621-3341 | 2016-12-21 |
| 1124486527 | Bonwellness Clinic, Inc | Acupuncturist | 7212 Orangethorpe Ave, Ste 6, Buena Park, CA 90621-3341 | 2016-02-01 |
| 1932595220 | Lyleanna K Nguyen | Registered Nurse | 7212 Orangethorpe Ave, 9a, Buena Park, CA 90621-3341 | 2015-04-13 |
| 1487047353 | Joo Chun | Registered Nurse | 7212 Orangethorpe Ave, Suite 9a, Buena Park, CA 90621-3341 | 2015-03-16 |
| 1811380322 | Gabriel Fernandez | Registered Nurse | 7212 Orangethorpe Ave, Suite 9a, Buena Park, CA 90621-3341 | 2015-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756780 | Jung Hee Lee Kim | Acupuncturist | 6881 Stanton Ave. #f, Buena Park, CA 90621 | 2020-10-08 |
| 1003420001 | On Beach Surgery Center, LLC | Clinic/Center | 5832 Beach Blvd, Suite 210, Buena Park, CA 90621 | 2020-09-07 |
| 1275197733 | Adrian Acosta Dds, A Professional Dental Corporation | Dentist | 4600 Beach Blvd Ste A, Buena Park, CA 90621 | 2019-04-30 |
| 1568965499 | Lasik Eyecare Medical Corporation | Ophthalmology | 5832 Beach Blvd. Suite No. 109 B, Buena Park, CA 90621 | 2018-03-16 |
| 1144743857 | Angel Gabriel Castillo Israel | Nurse Practitioner | 6915 Faculty Circle Apt. D, Buena Park, CA 90621 | 2017-07-25 |
| 1477074813 | Susan Moon Lee | Dentist | 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 | 2017-07-06 |
| 1083149637 | Jung Ae Lee | Acupuncturist | 6881 Stanton Avenue, Suite C1, Buena Park, CA 90621 | 2017-04-20 |
| 1528502648 | Boung Kim I | Dentist | 8754 Garden Grove Bld, Garden Grove, CA 90621 | 2016-12-08 |
| 1689116550 | Sara Park | Acupuncturist | 4600 Beach Blvd, Suite M, Buena Park, CA 90621 | 2016-11-09 |
| 1548710783 | Hey Lee | Student in an Organized Health Care Education/Training Program | 7212 Orangeorpe Ave #8, Buena Park, CA 90621 | 2016-10-12 |
| Find all providers in zip 90621 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689022535 | Melinda Lee-chae | Counselor | 6229 Villa Ryan Ct, Buena Park, CA 90620-4723 | 2016-06-01 |
| 1548774011 | Hannah Kwon Lee | Counselor | 7212 Orangethorpe Ave Ste 8, Buena Park, CA 90621-4667 | 2017-11-20 |
| 1568902252 | We Sun Park | Counselor | 7212 Orangethorpe Ave, Buena Park, CA 90621-3341 | 2017-03-01 |
| 1588109961 | Hyun Choi | Counselor | 7212 Orangethorpe Ave, Suite 8, Buena Park, CA 90621-3341 | 2016-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104628 | Ann Egan | Counselor | 207 Cole St, San Francisco, CA 94117-1915 | 2020-11-07 |
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1184224693 | Enrique L Hinojosa | Counselor | 817 S Fairmont Ave, Lodi, CA 95240-5116 | 2020-10-26 |
| 1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
| 1114526407 | David Arthur Lee | Counselor | 1819 Idaho Ave, Santa Monica, CA 90403-3301 | 2020-10-19 |
| 1235737271 | Jeannie Dulberg | Counselor | 540 Wagnon Rd, Sebastopol, CA 95472-9204 | 2020-10-12 |
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1467059105 | Paul Benjamin Mannes | Counselor | 59922 La Brisa Dr, Yucca Valley, CA 92284-9351 | 2020-10-06 |
| 1689271454 | Skycare Cuidado Del Cielo LLC | Counselor | 7890 E Spring St Unit 10d, Long Beach, CA 90815-1622 | 2020-10-05 |
| 1396342135 | Lima Karim | Counselor | 4109 Broadmoor Cmn Apt 207, Fremont, CA 94538-7013 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | BUENA PARK |
| Zip Code | 90621 |
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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.