LISA KIM (NPI# 1962662395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962662395 |
| Entity Type | Individual |
| Full Name | LISA KIM |
| Practice Address |
4650 W Sunset Blvd # 53 Los Angeles CA 90027-6062 |
| Mailing Address |
301 S Muirfield Rd Los Angeles CA 90020-4821 |
| Practice Telephone | 3233613813 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2011-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC49076 | CA | Behavioral Health & Social Service 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 |
| 1811061674 | Lisa R Kim | Dentist | 241 S Beverly Dr, Beverly Hills, CA 90212-3807 | 2006-11-20 |
| 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 |
| Street Address |
4650 W SUNSET BLVD # 53 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629108030 | Myisha Driver | Marriage & Family Therapist | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027 | 2007-03-06 |
| 1689274540 | Liliana Romero | Case Manager/Care Coordinator | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2020-10-29 |
| 1033719992 | Alice M Perches | Case Manager/Care Coordinator | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2020-10-29 |
| 1073122925 | Ashley Rediker | Rehabilitation Counselor | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2020-07-27 |
| 1750907192 | Vidhi M Thakkar | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2020-06-22 |
| 1336764646 | Melina Foden | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2020-06-11 |
| 1093330706 | Salloni Nanda | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2020-06-09 |
| 1144845942 | Zoey Dunne | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2020-06-08 |
| 1285259051 | Molly Mechammil | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2020-06-08 |
| 1316569932 | Jacqueline Martin | Student in an Organized Health Care Education/Training Program | 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326645 | Jamie Bracco | Marriage & Family Therapist | 564 Lillian Way, Los Angeles, CA 90004-1106 | 2020-11-02 |
| 1174123160 | Namita Individual Family and Child Therapists & Associates, Inc. | Marriage & Family Therapist | 357 S Curson Ave # 47-4e, Los Angeles, CA 90036-5201 | 2020-10-28 |
| 1972103398 | Vera Mae Rodriguez | Marriage & Family Therapist | 124 N Townsend Ave, Los Angeles, CA 90063-2334 | 2020-10-26 |
| 1639778319 | Ep Marriage Therapy, Inc. | Marriage & Family Therapist | 504 S Normandie Ave Apt 105, Los Angeles, CA 90020-3023 | 2020-10-22 |
| 1306445499 | Maythal H Eshaghian | Marriage & Family Therapist | 100 N Wetherly Dr Apt 2d, Los Angeles, CA 90048-1833 | 2020-10-20 |
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1528666005 | Paul Felipe Estopier | Marriage & Family Therapist | 3630 Marathon St Apt 318, Los Angeles, CA 90026-2869 | 2020-10-15 |
| 1245837970 | Catherine Pancheri | Marriage & Family Therapist | 616 N Curson Ave, Los Angeles, CA 90036-1812 | 2020-10-06 |
| 1003423500 | Rachel Goldstein | Marriage & Family Therapist | 11700 National Blvd # L129, Los Angeles, CA 90064-3669 | 2020-09-28 |
| 1326655473 | Robert A Garcia | Marriage & Family Therapist | 515 E 9th St, Los Angeles, CA 90015-1817 | 2020-09-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on LISA 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.