YEONGBU KIM (NPI# 1932594637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932594637 |
| Entity Type | Individual |
| Full Name | YEONGBU KIM |
| Practice Address |
1039 W Florence Ave Los Angeles CA 90044-2441 |
| Practice Telephone | 3237761500 |
| Practice Fax Number | 3237761499 |
| Mailing Telephone | 3237761500 |
| Mailing Fax Number | 3237761499 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F1214357 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1039 W FLORENCE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90044-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972624021 | Stanislaus Okpako Awariefe | Family Medicine | 1039 W Florence Ave, Los Angeles, CA 90044-2441 | 2007-04-03 |
| 1699310680 | Anthony Duong La Bui | Nurse Practitioner | 1039 W Florence Ave, Los Angeles, CA 90044-2441 | 2019-11-13 |
| 1275177149 | Paul John Magat Buan | Nurse Practitioner | 1039 W Florence Ave, Los Angeles, CA 90044-2441 | 2019-11-04 |
| 1093281156 | Czarina Al Baloy | Dentist | 1039 W Florence Ave, Los Angeles, CA 90044 | 2018-10-16 |
| 1871026187 | Ann Rocelyn Ofel Datingaling | Nurse Practitioner | 1039 W Florence Ave, Los Angeles, CA 90044-2441 | 2017-04-05 |
| 1629523410 | Nextgen Pharmacy Inc | Pharmacy | 1039 W Florence Ave, #102, Los Angeles, CA 90044-2441 | 2016-08-22 |
| 1316392939 | Lei Zhu | Physician Assistant | 1039 W Florence Ave, Los Angeles, CA 90044-2441 | 2016-05-02 |
| 1861864118 | St. Paul Center Alcohol and Drug Program | Counselor | 1039 W Florence Ave, Los Angeles, CA 90044-2441 | 2015-10-27 |
| 1235527292 | Sheila Claiborne | Counselor | 1039 W Florence Ave, Los Angeles, CA 90044-2441 | 2014-12-29 |
| 1184043564 | Yong Kwon | Nurse Practitioner | 1039 W Florence Ave, Los Angeles, CA 90044-2441 | 2014-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386135671 | Park Professional Dental Corp | Dentist | 600 W Manchester Ave Ste 2, Los Angeles, CA 90044 | 2018-05-23 |
| 1851831218 | Latisha Samantha Carter | Licensed Vocational Nurse | 521 W 97th St., Los Angeles, CA 90044 | 2017-03-06 |
| 1669928230 | Travel & Ground Network Inc. | Non-emergency Medical Transport (VAN) | 605 West 113 Th. Street, Los Angeles, CA 90044 | 2016-09-01 |
| 1295100642 | Scharp | Community/Behavioral Health | 8836 Vermont Ave, Los Angeles, CA 90044 | 2015-12-10 |
| 1356714851 | Euna Lee | Pharmacist | 5822 S Vermont Avenue, Los Angeles, CA 90044 | 2015-11-05 |
| 1518384338 | Kiniko Willingham | Social Worker | 1050 W 91st St, Los Angles, CA 90044 | 2014-03-19 |
| 1619211422 | Los Angeles Christian Health Centers | Clinic/Center | 8511 1/2 Vermont Street, Los Angeles, CA 90044 | 2012-11-16 |
| 1891047510 | Yvonne Henderson | Marriage & Family Therapist | 8730 S. Vermont Ave, Los Angeles, CA 90044 | 2012-10-04 |
| 1669722534 | Diana Gutierrez | Counselor | 9001 S. Vermont Ave., Los Angeles, CA 90044 | 2012-09-18 |
| 1720343304 | Rocio Cortez | Counselor | 90001 South Vermont Ave, Los Angeles, CA 90044 | 2012-07-10 |
| Find all providers in zip 90044 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845700 | Amber Li | Nurse Practitioner | 3852 Bostwick St, Los Angeles, CA 90063-1765 | 2020-09-11 |
| 1750995916 | Yeranui Stepanyan Np Advance Practice Nursing Apc | Nurse Practitioner | 1711 W Temple St Fl 1, Los Angeles, CA 90026-7329 | 2020-09-04 |
| 1255943452 | Emily Wright | Nurse Practitioner | 11500 W Olympic Blvd Ste 570, Los Angeles, CA 90064-1536 | 2020-08-19 |
| 1174134472 | Hanna Song | Nurse Practitioner | 1234 Wilshire Blvd Apt 437, Los Angeles, CA 90017-1983 | 2020-08-11 |
| 1760090351 | Katherine Tran | Nurse Practitioner | 11120 Queensland St Unit B11, Los Angeles, CA 90034-5230 | 2020-07-20 |
| 1811512072 | Annabel Jeng | Nurse Practitioner | 3360 Isabel Dr, Los Angeles, CA 90065-1931 | 2020-06-13 |
| 1205465994 | Tania Parhami | Nurse Practitioner | 2045 S Bentley Ave Apt 201, Los Angeles, CA 90025-5673 | 2020-04-03 |
| 1205466349 | Laura Madeline Locke | Nurse Practitioner | 127 S San Vicente Blvd Ste 6600, Los Angeles, CA 90048-3311 | 2020-01-16 |
| 1629616412 | Marcie Lynn Hulpa | Nurse Practitioner | 11812 Gorham Ave Apt 203, Los Angeles, CA 90049-5491 | 2019-12-12 |
| 1457901183 | Alexandria Rebecca Borys | Nurse Practitioner | 200 Ucla Medical Plz Ste B265b2, Los Angeles, CA 90095-8344 | 2019-09-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90044 |
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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.