DR. BRANDON JUNTAE KIM (NPI# 1821354770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821354770 |
| Entity Type | Individual |
| Full Name | DR. BRANDON JUNTAE KIM |
| Credential | M.D. |
| Practice Address |
1450 San Pablo St Ste 5100 Los Angeles CA 90033-4500 |
| Mailing Address |
915 Olentangy River Rd Ste 4000 Columbus OH 43212-3154 |
| Practice Telephone | 3234425790 |
| Mailing Telephone | (323) 442-5790 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2018-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | A146999 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | 35134339 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1540 Alcazar Street, Suite 204, Los Angeles, CA 900330080 | 3234424830 | 3238659640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962496323 | Brandon J Kim | Podiatrist | 1002 E Mcdowell Rd, Suite A, Phoenix, AZ 85006-2625 | 2005-08-31 |
| 1992267173 | Brandon Hoongyung Kim | Student in an Organized Health Care Education/Training Program | 222 Station Plz N Ste 509, Mineola, NY 11501-3893 | 2019-04-05 |
| 1558821215 | Brandon K Kim | Student in an Organized Health Care Education/Training Program | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2019-03-20 |
| Street Address |
1450 SAN PABLO ST STE 5100 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075635 | John Steven Oghalai | Otolaryngology | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-4500 | 2005-07-05 |
| 1568071751 | Yael Emilie Bensoussan | Otolaryngology | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-5331 | 2020-07-24 |
| 1508413303 | Jazmine Michele Kwong | Physician Assistant | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-5331 | 2019-08-26 |
| 1790347458 | Mariah Elaine Morton | Speech-Language Pathologist | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-5331 | 2019-07-02 |
| 1407331614 | Ellen Rose Turner | Speech-Language Pathologist | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033 | 2018-10-03 |
| 1487132288 | Lauren Kylene Timmons Sund | Speech-Language Pathologist | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-5331 | 2018-08-02 |
| 1467930289 | Maria Eugenia Castro | Speech-Language Pathologist | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-4500 | 2018-08-02 |
| 1760984371 | Kenneth Tom | Speech-Language Pathologist | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-4500 | 2018-02-28 |
| 1417479775 | Christine Park | Physician Assistant | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-4500 | 2017-07-07 |
| 1386190536 | Alaina Bassett | Audiologist | 1450 San Pablo St Ste 5100, Los Angeles, CA 90033-5331 | 2016-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598280901 | Kian Karimi Md Inc | Otolaryngology | 11645 Wilshire Blvd Fl 6, Los Angeles, CA 90025-6807 | 2017-08-07 |
| 1770906687 | David Carl Marcusen | Otolaryngology | 660 N Gramercy Pl, Los Angeles, CA 90004-1702 | 2014-01-28 |
| 1124451505 | Karam Badran | Otolaryngology | 10833 Le Conte Ave Chs 62-132, Department of Head and Neck Surgery, Los Angeles, CA 90095-1624 | 2013-08-20 |
| 1528490554 | Los Angeles Ent Surgical Associates | Otolaryngology | 1700 E. Cesar Chavez Ave, Suite 2500, Los Angeles, CA 90033 | 2013-08-01 |
| 1598011397 | Mehdi Sina | Otolaryngology | 1401 S Bentley Ave Apt 203, Los Angeles, CA 90025-8031 | 2012-07-30 |
| 1134486681 | Kevin Jae Choi | Otolaryngology | 966 S Western Ave Ste 101, Los Angeles, CA 90006-1014 | 2012-04-20 |
| 1649577156 | Hanwon H Cho | Otolaryngology | 11706 Montana Ave Apt 210, Los Angeles, CA 90049-6724 | 2011-02-17 |
| 1588822100 | Gary S Bellack Md Inc | Otolaryngology | 8631 W Third St, Suite 225, Los Angeles, CA 90048-5901 | 2008-05-30 |
| 1730359258 | Kimanh Duong Nguyen | Otolaryngology | 600 South San Vicente Blvd, Los Angeles, CA 90048 | 2008-03-11 |
| 1669657748 | Jennifer Lynn Long | Otolaryngology | 200 Medical Plaza Suite 550, Los Angeles, CA 90095-6975 | 2008-01-08 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
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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.