Shin Il Kim
Nurse Practitioner (Family)

Address: 450 Bauchet St Fl 8, Los Angeles, CA 90012-2907
Phone: 2139722213

Shin Il Kim (NPI# 1578184966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1578184966
Entity Type Individual
Full Name Shin Il Kim
Credential NP
Gender Male
Practice Address 450 Bauchet St Fl 8
Los Angeles
CA 90012-2907
Practice Telephone 2139722213
Mailing Address 4520 Pennsylvania Ave Apt 118
La Crescenta
CA 91214-4213
Mailing Telephone 2137180865
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-04-27
Last Update Date 2020-04-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 95014461 CA

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

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1962003640 Samira Kadri Nurse Practitioner 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 2020-11-08
1528672110 Christopher Tria Coronel Nurse Practitioner 3435 Garden Ave, Los Angeles, CA 90039-1919 2020-09-01
1871119701 Carina Lizette Guerra Nurse Practitioner St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 2020-06-16
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1922621432 Latasha Tracy Warren Nurse Practitioner 1720 N Fuller Ave Apt 450, Los Angeles, CA 90046-3076 2020-05-19
1457971160 Karen Kim-chang Nurse Practitioner 450 Bauchet St Rm E815, Los Angeles, CA 90012-2907 2020-04-22
1912534033 Anthony Felipe Banuelos Villa Nurse Practitioner 3437 Ellison St, Los Angeles, CA 90063-1901 2020-03-26
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Office Location

Street Address 450 BAUCHET ST FL 8
City LOS ANGELES
State CA
Zip Code 90012-2907

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538654124 Los Angeles County Children and Families First - Proposition 10 Commis Case Management 750 N. Alameda Street, Suite 300, Los Angeles, CA 90012 2018-06-26
1750886511 Pain Control Clinic Acupuncturist 321 E. 1st St. #220, Los Angeles, CA 90012 2018-03-26
1891224325 Brenda D Sazo Community Health Worker 1000 N. Alameda St, # 350, Los Angeles, CA 90012 2017-06-08
1740719012 Fatemeh Arabpour Dentist 505 N Figueroa Apt #534, Los Angeles, CA 90012 2017-06-08
1033667662 Olga Witrago Case Manager/Care Coordinator 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 2016-09-12
1902269962 Samantha Martinez Licensed Practical Nurse 701 West Cesar Chavez Av, Los Angeles, CA 90012 2016-03-29
1760847313 Maria Emilia Manosa Rosales Social Worker 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 2015-12-28
1609242999 Hilary Adams Psychologist 250 E 1st St Ste 300, Los Angeles, CA 90012 2015-08-20
1831586288 Thanh Ngoc Nguyen Trinh Nurse Practitioner 180 N Los Angeles St, Los Angeles, CA 90012 2015-04-23
1760880827 Bertha Regina Garcia Licensed Vocational Nurse 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 2014-12-05
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Competitor

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City LOS ANGELES
Zip Code 90012

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Dataset Information

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.