EVAN YUNG JIN KIM (NPI# 1790175859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790175859 |
| Entity Type | Individual |
| Full Name | EVAN YUNG JIN KIM |
| Credential | D.O. |
| Practice Address |
801 S Chevy Chase Dr Ste 201 Glendale CA 91205-4435 |
| Practice Telephone | 8185005586 |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A13764 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
801 S CHEVY CHASE DR STE 201 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91205-4435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148720 | Andrew Nguyen | Student in an Organized Health Care Education/Training Program | 801 S Chevy Chase Dr Ste 201, Glendale, CA 91205-4435 | 2020-06-10 |
| 1023637337 | Naira Sargsyan | Student in an Organized Health Care Education/Training Program | 801 S Chevy Chase Dr Ste 201, Glendale, CA 91205-4435 | 2020-04-16 |
| 1144849910 | Jae Hee Choe | Student in an Organized Health Care Education/Training Program | 801 S Chevy Chase Dr Ste 201, Glendale, CA 91205-4435 | 2020-04-13 |
| 1629697438 | Xianzhang Geng | Student in an Organized Health Care Education/Training Program | 801 S Chevy Chase Dr Ste 201, Glendale, CA 91205-4435 | 2020-04-11 |
| 1952920084 | Yifei Sun | Student in an Organized Health Care Education/Training Program | 801 S Chevy Chase Dr Ste 201, Glendale, CA 91205-4435 | 2020-04-09 |
| 1750910089 | Victor Tin | Student in an Organized Health Care Education/Training Program | 801 S Chevy Chase Dr Ste 201, Glendale, CA 91205-4435 | 2020-04-08 |
| 1265051494 | Aris Melkonian | Student in an Organized Health Care Education/Training Program | 801 S Chevy Chase Dr Ste 201, Glendale, CA 91205-4435 | 2020-04-08 |
| 1679102198 | Laura Spanko | Student in an Organized Health Care Education/Training Program | 801 S Chevy Chase Dr Ste 201, Glendale, CA 91205-4435 | 2020-04-06 |
| 1790338408 | Adanma Festa Nwachuku | Student in an Organized Health Care Education/Training Program | 801 S Chevy Chase Dr Ste 201, Glendale, CA 91205-4435 | 2019-07-22 |
| 1356993984 | Mane Aleksanyan | Student in an Organized Health Care Education/Training Program | 801 S Chevy Chase Dr Ste 201, Glendale, CA 91205-4435 | 2019-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104466382 | Ashley Torres | Behavior Technician | 501 East Harvard Street, Glendale, CA 91205 | 2020-01-15 |
| 1306492277 | Maria Veronica A Lopez | Registered Nurse | 1000 E Windsor Rd, Unit 2, Glendale, CA 91205 | 2019-08-15 |
| 1801373469 | Lucky Riders Inc. | Non-emergency Medical Transport (VAN) | 1251 Boynton St Apt 1, Glendale, CA 91205 | 2018-07-25 |
| 1669967006 | Happy Life Home Health Care Inc | Home Health | 225 East Broadway St, Suite 203, Glendale, CA 91205 | 2018-06-28 |
| 1841782356 | Liana Hariri | Case Manager/Care Coordinator | 1540 E. Colorodo St., Glendale, CA 91205 | 2018-05-31 |
| 1992202469 | Narek Garukyan Dpm | Clinic/Center | 815 E Colorado St Ste 210, Glendale, CA 91205 | 2018-04-10 |
| 1619496080 | Elite Care Home Health Services Inc | Home Health | 225 E.broadway, Suite B114, Glendale, CA 91205 | 2017-09-16 |
| 1396284980 | Ingrid Pamela Vazquez Solis | Case Manager/Care Coordinator | 1540 E. Colorado Street, Glendale, CA 91205 | 2017-02-16 |
| 1730533670 | Arm Trans Management Company | Non-emergency Medical Transport (VAN) | 627 E. Windsor Rd # 6, Glendale, CA 91205 | 2016-04-18 |
| 1104290824 | Caremore Health Plan | Nurse Practitioner | 406 E. Colorado Street, Glendale, CA 91205 | 2015-11-18 |
| Find all providers in zip 91205 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1356967327 | Kristian Adair | Family Medicine | 7200 W Bell Rd Ste E102, Glendale, AZ 85308-8534 | 2020-06-24 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1053930248 | Shine Mmg Inc | Family Medicine | 450 N Brand Blvd Ste 625a, Glendale, CA 91203-2347 | 2020-04-08 |
| 1497381446 | Leonardo C Ortiz Md A Medical Corporation | Family Medicine | 2145 Ashington Dr, Glendale, CA 91206-1140 | 2020-03-20 |
| 1508498130 | Nare Stepanyan Md Inc | Family Medicine | 1030 S Glendale Ave Ste 503, Glendale, CA 91205-2820 | 2020-02-11 |
| 1194368530 | Carolyn Kathan | Family Medicine | 3732 W Charleston Ave, Glendale, AZ 85308-2708 | 2019-10-17 |
| 1932740966 | Starcare Homes LLC | Family Medicine | 9416 W Colter St, Glendale, AZ 85305-3373 | 2019-10-01 |
| 1871050559 | Mensa Family Clinic Inc | Family Medicine | 1110 S Glendale Ave Ste E, Glendale, CA 91205-5623 | 2019-02-28 |
| 1891279907 | Denise M Gomez | Family Medicine | 7200 W Bell Rd Unit 101, Glendale, AZ 85308-8529 | 2018-09-24 |
| 1427537299 | Brilliant Health Center Inc | Family Medicine | 1014 E Colorado St, Glendale, CA 91205-1226 | 2018-08-12 |
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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.