HK FACIAL PLASTIC SURGERY, INC (NPI# 1780073759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780073759 |
| Entity Type | Organization |
| Organization Name | HK FACIAL PLASTIC SURGERY, INC |
| Practice Address |
106 La Casa Via #200 Walnut Creek CA 94598-3086 |
| Practice Telephone | 8669413796 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |
| Authorized Official Name | HAENA KIM (PRESIDENT) |
| Authorized Official Telephone | 8669413796 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
A126331 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
106 LA CASA VIA #200 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-3086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578599163 | Kristine W Batten | Internal Medicine | 106 La Casa Via, #140, Walnut Creek, CA 94598-3086 | 2006-06-24 |
| 1619425584 | Kelli Patin | Dietitian, Registered | 106 La Casa Via, Suite 100, Walnut Creek, CA 94598-3086 | 2016-09-20 |
| 1922470863 | University Healthcare Alliance | Internal Medicine | 106 La Casa Via, Suite 260, Walnut Creek, CA 94598-3086 | 2015-10-29 |
| 1447677141 | Erin Walker | Physician Assistant | 106 La Casa Via, Suite 140, Walnut Creek, CA 94598-3086 | 2014-03-20 |
| 1538413117 | Carrie Toni Chan | Nurse Practitioner | 106 La Casa Via, Suite 240, Walnut Creek, CA 94598-3086 | 2012-11-02 |
| 1609176478 | Justin Mark Keyashian | Dentist | 106 La Casa Via, 280, Walnut Creek, CA 94598-3086 | 2010-10-27 |
| 1275799124 | Haena Kim | Otolaryngology | 106 La Casa Via, Suite 200, Walnut Creek, CA 94598-3086 | 2008-07-31 |
| 1386786366 | Wayne R. Walker | Dentist | 106 La Casa Via, Suite 280, Walnut Creek, CA 94598-3086 | 2007-02-13 |
| 1942235411 | Anne M Thibault | Nurse Practitioner | 106 La Casa Via, Suite 100, Walnut Creek, CA 94598-3086 | 2006-07-12 |
| 1013947670 | Mark D Nathan | Internal Medicine | 106 La Casa Via, #140, Walnut Creek, CA 94598-3086 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
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| 1114550498 | Hootan Zandifar Md Inc | Otolaryngology | 8920 Wilshire Blvd Ste 604, Beverly Hills, CA 90211-2006 | 2020-02-14 |
| 1548751183 | Farhad Ardesh Md Inc | Otolaryngology | 11620 Wilshire Blvd Ste 280, Los Angeles, CA 90025-1263 | 2018-05-18 |
| 1174943377 | Sunny Park Md, Inc | Otolaryngology | 901 Dover Dr Ste 126, Newport Beach, CA 92660-5546 | 2014-04-26 |
| 1154743987 | Keith Jay Wahl | Otolaryngology | 8735 Nottingham Pl, La Jolla, CA 92037-2129 | 2014-01-14 |
| 1295179570 | Ari Joseph Hyman | Otolaryngology | 16311 Ventura Blvd Ste 600, Encino, CA 91436-2134 | 2013-04-17 |
| 1710229893 | Zachary Calnan Fridirici | Otolaryngology | 2233 Post St Fl 3, San Francisco, CA 94115 | 2013-03-26 |
| 1376883975 | Su Mai | Otolaryngology | 13071 Brookhurst St Ste 150, Garden Grove, CA 92843-1024 | 2013-02-20 |
| 1710244892 | Meaghan Noud | Otolaryngology | 421 Post St Fl 14, San Francisco, CA 94102 | 2012-04-13 |
| 1508164500 | Dr. Sasha Maher D.o. | Otolaryngology | 10861 Cherry St Ste 106, Los Alamitos, CA 90720-5403 | 2011-03-01 |
| 1871804187 | Edwin E Breitenbach | Otolaryngology | 2601 Augusta, Tustin, CA 92782-1201 | 2010-07-01 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.