CHRISTINE YOUNG KIM (NPI# 1770910192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770910192 |
Entity Type | Individual |
Full Name | CHRISTINE YOUNG KIM |
Credential | NP |
Practice Address |
2020 E Imperial Hwy # S25c310 El Segundo CA 90245-3507 |
Mailing Address |
2020 E. Imperial Hwy W/s25/c310 El Segundo CA 90245-3507 |
Practice Telephone | 3104163832 |
Practice Fax Number | 3106625534 |
Mailing Telephone | 3104163832 |
Mailing Fax Number | 3106625534 |
Enumeration Date | 2013-09-30 |
Last Update Date | 2013-09-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
552691 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588180368 | Christine Jin Kim | Pharmacist | 1726 S Orme St, Anaheim, CA 92804-6434 | 2017-08-14 |
1518493758 | Christine Kim | Occupational Therapist | 4900 Overland Ave Unit 218, Culver City, CA 90230-4275 | 2017-05-09 |
1871036103 | Christine Heeyoung Kim | Pharmacist | 20724 E Mill Ln, Walnut, CA 91789-4070 | 2016-11-18 |
1437608361 | Christine Jihae Kim | Dentist | 6 Appomattox, Irvine, CA 92620 | 2016-10-04 |
1184172942 | Christine Kim | Dietitian, Registered | 19721 May Way, Santa Clarita, CA 91351-5277 | 2016-09-21 |
1164886487 | Christine Ejin Kim | Student in an Organized Health Care Education/Training Program | 14351 Roosevelt Ave Apt 5c, Flushing, NY 11354-6110 | 2016-04-12 |
1396115531 | Christine Kim | Marriage & Family Therapist | 414 Gough St Ste 5, San Francisco, CA 94102-4474 | 2015-09-30 |
1396155958 | Christine Soojin Kim | Otolaryngology | 50 New Scotland Ave Fl 4, Albany, NY 12208-3403 | 2014-05-05 |
1093132201 | Christine Kim | Speech-Language Pathologist | 6991 San Julian Cir, Buena Park, CA 90620-2955 | 2014-03-25 |
1629313879 | Christine Kim | Nurse Practitioner | 15 Pinehurst Ave, Port Monmouth, NJ 07758-1427 | 2012-11-29 |
Street Address |
2020 E IMPERIAL HWY # S25C310 |
City | EL SEGUNDO |
State | CA |
Zip Code | 90245-3507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366058976 | Britt'nee Cornelius | Massage Therapist | 222 North PCh, Suite 2000, El Segundo, CA 90245 | 2020-09-18 |
1750913778 | Laurie Ann Scoppetto | Dietitian, Registered | 482 N Aviation Blvd, El Segundo, CA 90245 | 2020-02-07 |
1972135283 | A Dabrowska Dds, Inc | Dentist | 390 N. Pacific Coast Hwy #1050, El Segundo, CA 90245 | 2020-02-05 |
1578023057 | Miles Bertumen | Pharmacist | 283 N Aviation Blvd, Building 210, El Segundo, CA 90245 | 2019-03-21 |
1831673201 | Kriss L. Killam | Marriage & Family Therapist | 302 W. Grand Ave., Suite 9, El Segundo, CA 90245 | 2018-09-20 |
1811487911 | Bright Light Recovery | Substance Abuse Rehabilitation Facility | 218 Concord St, Suite C, El Segundo, CA 90245 | 2018-05-14 |
1265950448 | Sarah Yuriko Mizuki | Physician Assistant | 390 N PCh, Suite 1000, El Segundo, CA 90245 | 2017-09-07 |
1326586462 | Jlp Interpreting Services | Interpreter | 963 Virginia St #5, El Segundo, CA 90245 | 2017-02-09 |
1619351707 | El Segundo Dermatology, Inc. | Specialist | 713 N Douglas St., El Segundo, CA 90245 | 2015-07-17 |
1083956635 | 24hr Homecare, LLC | Home Health | 200 N. Pacific Coast Highway, Suite 300, El Segundo, CA 90245 | 2013-03-21 |
Find all providers in zip 90245 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114460565 | Young Shin | Nurse Practitioner | 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 | 2016-12-01 |
1578968731 | Jessica Rodriguez | Nurse Practitioner | 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 | 2014-10-30 |
1437167913 | Barbara E Beckford | Nurse Practitioner | 2101 Rosecrans Ave # 3230, El Segundo, CA 90245 | 2006-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
Find all providers with the same taxonomy |
City | EL SEGUNDO |
Zip Code | 90245 |
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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.