DR. LISA R KIM (NPI# 1811061674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811061674 |
| Entity Type | Individual |
| Full Name | DR. LISA R KIM |
| Credential | DDS |
| Practice Address |
241 S Beverly Dr Beverly Hills CA 90212-3807 |
| Mailing Address |
1325 N Sierra Bonita Ave Apt #121 West Hollywood CA 90046-8522 |
| Practice Telephone | 3108609311 |
| Practice Fax Number | 3108609313 |
| Mailing Telephone | 9096495682 |
| Mailing Fax Number | 3108609313 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
54850 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752569 | Lisa Ann Kim | Occupational Therapist | 13562 Purdy St, Garden Grove, CA 92844-2522 | 2020-05-20 |
| 1700288305 | Lisa Young Kim | Pharmacist | 2100 Valencia Dr Apt 305, Northbrook, IL 60062-7088 | 2014-09-25 |
| 1942341250 | Lisa Sunhee Kim | Internal Medicine | 2604 Dempster St Ste 300, Park Ridge, IL 60068-8427 | 2007-02-09 |
| 1982795753 | Lisa M Kim | Internal Medicine | 3355 Rogers Ave, Ellicott City, MD 21043-4105 | 2006-09-27 |
| 1154969160 | Lisa Kim | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2019-12-20 |
| 1093276842 | Lisa Kim | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave Fl 3, Columbus, OH 43210-1267 | 2019-03-26 |
| 1972087773 | Lisa Jisun Kim | Student in an Organized Health Care Education/Training Program | 240 E Huron St Ste 1-200, Chicago, IL 60611-2909 | 2018-09-18 |
| 1548754385 | Lisa Jiyoung Kim | Nurse Practitioner | 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 | 2018-06-15 |
| 1427577931 | Lisa Kim | Pharmacist | 13000 Indian School Rd Ne, Albuquerque, NM 87112-4803 | 2017-09-15 |
| 1063818565 | Lisa Kim | Counselor | 3800 Coolidge Ave, Oakland, CA 94602-3311 | 2014-11-10 |
| Street Address |
241 S BEVERLY DR |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541826 | Joshua Danoush | Dentist | 124 N Clark Dr Apt 301, Beverly Hills, CA 90211-1737 | 2020-09-01 |
| 1356951792 | Lauren Povitz | Dentist | 9735 Wilshire Blvd Ste 320, Beverly Hills, CA 90212-2111 | 2020-07-31 |
| 1538643390 | Eugene Alexander Goncharov | Dentist | 8950 W Olympic Blvd Ste 262, Beverly Hills, CA 90211-3565 | 2018-09-18 |
| 1942788377 | Michael M Kerendian | Dentist | 9794 Donington Pl, Beverly Hills, CA 90210-1103 | 2018-07-28 |
| 1992221527 | Victor Chan Wong | Dentist | 450 N Bedford Dr Ste 209, Beverly Hills, CA 90210-4306 | 2017-08-15 |
| 1235663642 | Sam Baradaran | Dentist | 8641 Wilshire Blvd Ste 125, Beverly Hills, CA 90211-2945 | 2017-04-13 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1356736060 | Mkhail Keselbrener | Dentist | 9025 Wilshire Blvd Ste 305, Beverly Hills, CA 90211-1827 | 2015-03-30 |
| 1093106627 | Lr Rifkin A Professional Corp | Dentist | 414 N Camden Dr Ste 1280, Beverly Hills, CA 90210-4512 | 2015-02-18 |
| 1164827721 | Shirin Shahedi | Dentist | 328 S Elm Drive, Beverly Hills, CA 90212 | 2014-10-24 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on DR. LISA R 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.