RICHARD JAEYOUNG KIM (NPI# 1912544149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912544149 |
Entity Type | Individual |
Full Name | RICHARD JAEYOUNG KIM |
Practice Address |
3460 E La Palma Ave Anaheim CA 92806-2020 |
Mailing Address |
2731 Brierhaven Dr La Crescenta CA 91214-1403 |
Practice Telephone | 7146447180 |
Mailing Telephone | 8184840803 |
Enumeration Date | 2019-12-06 |
Last Update Date | 2019-12-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 81170 | CA | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235570466 | Richard B Kim | General Practice | 1201 S Redondo Blvd, Los Angeles, CA 90019-1547 | 2013-07-16 |
1023359619 | Richard Joon Kim | Pharmacist | 4315 Driving Range Rd, Corona, CA 92883 | 2013-03-07 |
1902032824 | Richard Hyun-jip Kim | Dentist | 12111 Garden Grove Blvd., Garden Grove, CA 92843-1604 | 2009-06-05 |
1790927580 | Richard Kyungho Kim | Neurological Surgery | 499 E Hampden Ave #220, Englewood, CO 80113-2792 | 2009-03-25 |
1265696983 | Richard K Kim | Psychiatry & Neurology | 1499 Chain Bridge Rd Ste 100, Mc Lean, VA 22101-5704 | 2008-07-11 |
1821270315 | Richard Kim | Optometrist | 8060 W Tropical Pkwy Ste 1, Las Vegas, NV 89149-4528 | 2007-11-27 |
1740403559 | Richard Yongyup Kim | Dentist | 2821 Tapo Ridge Dr, Bakersfield, CA 93313-5745 | 2007-04-10 |
1548340847 | Richard Kim | Dentist | 330 W 58th St Ste 309, New York, NY 10019-1822 | 2006-10-17 |
1609810779 | Richard D Kim | Obstetrics & Gynecology | 9500 Euclid Ave # R35, Cleveland, OH 44195-0001 | 2006-06-16 |
1912949132 | Richard Thomas Kim | Internal Medicine | 1508 Alhambra Blvd Ste 200, Sacramento, CA 95816-6510 | 2006-06-12 |
Street Address |
3460 E LA PALMA AVE |
City | ANAHEIM |
State | CA |
Zip Code | 92806-2020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699710913 | Anandray B Patel | Internal Medicine | 3460 E La Palma Ave, Medical Office Building 1, 3rd Floor, Anaheim, CA 92806-2020 | 2006-06-19 |
1639785421 | Alexandra Elizabeth Judd | Occupational Therapist | 3460 E La Palma Ave, Anaheim, CA 92806-2020 | 2020-09-17 |
1821636804 | Kaitlyn Tiffany Alvarez | Clinic/Center | 3460 E La Palma Ave, Anaheim, CA 92806-2020 | 2019-12-20 |
1215574215 | Christie Thaonhi Vo | Pharmacist | 3460 E La Palma Ave, Anaheim, CA 92806-2020 | 2019-12-09 |
1285271387 | Zachary Zungri | Physical Therapist | 3460 E La Palma Ave, Anaheim, CA 92806-2020 | 2019-12-08 |
1326515834 | Erik Murata | Physical Therapist | 3460 E La Palma Ave, Anaheim, CA 92806-2020 | 2018-11-01 |
1770062879 | Julie Mae Armstrong | Respiratory Therapist, Certified | 3460 E La Palma Ave, Anaheim, CA 92806-2020 | 2018-08-09 |
1326557281 | Julie Kim | Registered Nurse | 3460 E La Palma Ave, Anaheim, CA 92806-2020 | 2017-09-22 |
1376952812 | James Kwok | Physical Medicine & Rehabilitation | 3460 E La Palma Ave, Anaheim, CA 92806-2020 | 2014-08-08 |
1760828438 | Hyun Doo Lee | Internal Medicine | 3460 E La Palma Ave, Anaheim, CA 92806-2020 | 2013-05-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
1780175968 | Brooke Lindsay Owen | Specialist/Technologist | 1300 N. Kraemer Blvd, Anaheim, CA 92806 | 2018-05-23 |
1033631973 | Biocorrx Inc. | Rehabilitation, Substance Use Disorder Unit | 2390 E Orangewood Avenue, Suite 575, Anaheim, CA 92806 | 2017-07-12 |
1437679784 | Margaret Elena Popp | Counselor | Adult and Older Adult Behavioral Health Services, 2035 E. Ball Rd, Anaheim, CA 92806 | 2017-06-27 |
1982134581 | Jessica Nguyen | Pharmacist | 2833 E Randy Ave, Anaheim, CA 92806 | 2017-06-15 |
1518493733 | Oksana Pradun | Nurse Practitioner | 2111 East Ball Rd., Anaheim, CA 92806 | 2017-05-08 |
1568828754 | Sanah Qureshi | Nurse Anesthetist, Certified Registered | 2546 E Strong Pl, Anaheim, CA 92806 | 2016-01-05 |
1689050379 | Wu Chiropractic Care, Inc. | Acupuncturist | 215 N State College Blvd., #b, Anaheim, CA 92806 | 2015-08-04 |
1659757375 | Jonathan Song | Dentist | 1134 N State College Blvd Ste C, Anaheim, CA 92806 | 2015-08-04 |
1558764761 | Mariko Horie | Acupuncturist | 504 N State College Blvd, Anaheim, CA 92806 | 2014-10-01 |
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Taxonomy Code | 183500000X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811502446 | Riana Jessica Abadilla Ramos | Pharmacist | 1850 S. West Street, Anaheim, CA 92802 | 2020-09-10 |
1265043988 | Alexander Delgado | Pharmacist | 2114 E North Redwood Dr, Anaheim, CA 92806-2901 | 2020-08-14 |
1396376000 | Son Thien Pham | Pharmacist | 2575 E Riles Cir, Anaheim, CA 92806-5610 | 2020-01-31 |
1760022503 | Sangyune Gabrielle Lee | Pharmacist | 2570 W Lincoln Ave Apt 5, Anaheim, CA 92801-6403 | 2020-01-09 |
1699312421 | Dana Proum | Pharmacist | 1105 E Katella Ave Unit 367, Anaheim, CA 92805-8706 | 2019-11-27 |
1699231316 | Vince Vu | Pharmacist | 9841 Cerritos Ave, Anaheim, CA 92804-5907 | 2019-02-18 |
1427526359 | Ensi Bolouhari | Pharmacist | 743 S Thrasher Way, Anaheim, CA 92807-4432 | 2018-11-08 |
1669940789 | Leonel Garcia Jr. | Pharmacist | 400 S Beechtree Ct, Anaheim, CA 92808-1642 | 2018-11-06 |
1417430539 | Michelle H.t Nguyen | Pharmacist | 421 N Brookhurst St Ste 123, Anaheim, CA 92801-5618 | 2018-09-13 |
1073093811 | Mallory Torres Dichoso | Pharmacist | 1913 W Embassy Ave, Anaheim, CA 92804-2521 | 2018-08-21 |
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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.