DONG HOON KIM, M.D., INC. (NPI# 1811369861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811369861 |
| Entity Type | Organization |
| Organization Name | DONG HOON KIM, M.D., INC. |
| Practice Address |
11500 Brookshire Ave Downey CA 90241-4917 |
| Mailing Address |
19421 Amhurst Ct Cerritos CA 90703-6787 |
| Practice Telephone | 5629045573 |
| Mailing Telephone | 5624024914 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |
| Authorized Official Name | DR. DONG HOON KIM (PRESIDENT) |
| Authorized Official Telephone | 5624557770 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
A42545 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL BOARD | A42545 | 01 |
| Street Address |
11500 BROOKSHIRE AVE |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-4917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265433551 | Pih Health Hospital Downey | General Acute Care Hospital | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2005-08-09 |
| 1699303172 | Aaron-james Lao | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2020-03-30 |
| 1710515788 | Michelle Tran Nguyen | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2020-03-27 |
| 1902434970 | Xi Chen | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2020-03-27 |
| 1912534157 | Kun-uk David Lee | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2020-03-26 |
| 1386271476 | Jasmine Mistry | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2020-03-26 |
| 1225665391 | Kevin Hsu | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2020-03-26 |
| 1467005603 | Advanced Anesthesia Medical Corp | Anesthesiology | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2019-07-17 |
| 1972161438 | Vickie Tu | Pharmacist | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2019-05-30 |
| 1649737644 | Caelainn Coffman Rhoane | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2019-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881751857 | Dong Hoon Kim | Pediatrics | 11500 Brookshire Ave, Downey, CA 90241-4917 | 2007-01-02 |
| 1174555882 | Kim Chi Thanh Bui | Pediatrics | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699316695 | Neonatal Hospitalist Group, Inc | Pediatrics | 501 S Buena Vista St Nicu, Burbank, CA 91505-4809 | 2019-10-01 |
| 1619418936 | Natalie Hoi-man Chan | Pediatrics | 2516 Stockton Blvd Fl 2, Sacramento, CA 95817-2208 | 2017-03-20 |
| 1427502186 | George Francis Tidmarsh | Pediatrics | 10182 Telesis Ct, San Diego, CA 92121-4760 | 2016-08-11 |
| 1477904530 | Lida Irene Zeinali | Pediatrics | 2315 Stockton Blvd # 5, Sacramento, CA 95817-2201 | 2016-06-29 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1871921718 | Mirin Hemasilpin | Pediatrics | 22554 Ventura Blvd Ste 117, Woodland Hills, CA 91364-1436 | 2013-10-30 |
| 1588937353 | Jeffrey Joseph Pomerance | Pediatrics | 351 W Northridge Ave, Glendora, CA 91741-2036 | 2012-02-09 |
| 1447549225 | Jimmy Thuan Nguyen | Pediatrics | 5621 W Barbette Ave, Santa Ana, CA 92704-1015 | 2011-04-01 |
| 1699085134 | Rosemary Leake | Pediatrics | 2 Crest Rd W, Rolling Hills, CA 90274-5003 | 2010-10-18 |
| 1811200124 | Katrina Tan Ibonia | Pediatrics | 9300 Valley Childrens Pl # Se21, Madera, CA 93636-8762 | 2010-07-16 |
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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.